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Based on public Medicaid payment data.

Sam S Kwon

Medicaid Provider in Dacula, GA

Type

Individual Provider

Address

3635 Braselton Hwy

Dacula, GA 300191068

Phone

6787147575

NPI

1013054402

Procedures

3

Total Claims

3.2K

Patients Served

3K

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 $22.39 2,897 2,896
Dental Filling $56.86 204 101
Tooth Extraction $51.45 76 46

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