Based on public Medicaid payment data.
Jisung Park
Medicaid Provider in Buffalo, NY
Type
Individual Provider
Address
3557 Union Rd
Buffalo, NY 142255123
Phone
7166510099
NPI
1346738564
Procedures
2
Total Claims
774
Patients Served
758
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 | $35.92 | 689 | 689 |
| Dental Filling | $93.36 | 85 | 69 |
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