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Based on public Medicaid payment data.

Thomas S. Kim

Medicaid Provider in Centreville, VA

Type

Individual Provider

Address

5900 Fort Dr Ste 209

Centreville, VA 201212425

Phone

7033785777

NPI

1720108533

Procedures

1

Total Claims

665

Patients Served

655

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 $21.77 665 655

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