Based on public Medicaid payment data.
Jee Sun Kim
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
3309 W North Ave
Chicago, IL 606474901
Phone
7736619722
NPI
1710476205
Procedures
4
Total Claims
14.7K
Patients Served
12.2K
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 | $29.72 | 11,103 | 9,774 |
| Dental Filling | $61.12 | 2,103 | 1,453 |
| Tooth Extraction | $61.07 | 1,385 | 864 |
| Dental Crown | $268.21 | 114 | 92 |
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