Based on public Medicaid payment data.
Ji Seok Kim
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
7033 Greenville Ave Ste 102
Dallas, TX 752315116
Phone
2142339460
NPI
1841714078
Procedures
2
Total Claims
13.8K
Patients Served
12.4K
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 | $32.44 | 12,199 | 11,940 |
| Dental Filling | $73.61 | 1,605 | 480 |
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