Based on public Medicaid payment data.
Nickolas Ji Kim
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
8301 S Holland Rd Ste B
Chicago, IL 606201303
Phone
3122744524
NPI
1497233761
Procedures
3
Total Claims
26.8K
Patients Served
21K
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 | $44.44 | 17,953 | 17,497 |
| Dental Filling | $82.93 | 8,687 | 3,305 |
| Tooth Extraction | $63.07 | 189 | 153 |
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