Based on public Medicaid payment data.
Janie Kim
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
4108 N Sheridan Rd
Chicago, IL 606132007
Phone
7735496116
NPI
1265732416
Procedures
1
Total Claims
12
Patients Served
12
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 | $28.70 | 12 | 12 |
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