Based on public Medicaid payment data.
Jin Wook Song
Medicaid Provider in Carthage, NY
Type
Individual Provider
Address
35761 Sayre Rd
Carthage, NY 136198522
Phone
3154936003
NPI
1558453431
Procedures
4
Total Claims
6.5K
Patients Served
6K
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 | $39.41 | 4,805 | 4,804 |
| Dental Filling | $94.72 | 1,524 | 1,013 |
| Dental Crown | $730.71 | 195 | 153 |
| Tooth Extraction | $103.50 | 20 | 13 |
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