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Based on public Medicaid payment data.

Andrea Jiyoon Kim

Medicaid Provider in Bronx, NY

Type

Individual Provider

Address

1775 Grand Concourse

Bronx, NY 104538202

Phone

7189018110

NPI

1386183325

Procedures

4

Total Claims

117K

Patients Served

99.8K

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Dental Cleaning & Exam $30.65 78,604 78,050
Dental Filling $57.90 33,388 18,482
Tooth Extraction $42.60 4,570 2,974
Root Canal $53.69 452 290

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