Based on public Medicaid payment data.
Dana Kim
Medicaid Provider in Charlotte Hall, MD
Type
Individual Provider
Address
29795 Three Notch Rd.
Charlotte Hall, MD 20622
Phone
3012900001
NPI
1235481672
Procedures
3
Total Claims
48.3K
Patients Served
44.9K
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 | $38.97 | 40,065 | 39,389 |
| Dental Filling | $113.43 | 7,062 | 4,765 |
| Tooth Extraction | $109.30 | 1,215 | 712 |
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