Based on public Medicaid payment data.
Bomi Kim
Medicaid Provider in Culpeper, VA
Type
Individual Provider
Address
563 James Madison Hwy
Culpeper, VA 227012365
Phone
5408274076
NPI
1962997130
Procedures
5
Total Claims
6.7K
Patients Served
4.2K
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 | $26.16 | 3,577 | 3,226 |
| Dental Filling | $56.44 | 2,316 | 679 |
| Tooth Extraction | $110.73 | 668 | 234 |
| Dental Crown | $500.00 | 78 | 44 |
| Root Canal | $679.00 | 12 | 12 |
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