Based on public Medicaid payment data.
Sang Kwon Seo
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
12989 Jupiter Rd Ste 106
Dallas, TX 752385248
Phone
2143439115
NPI
1427402981
Procedures
1
Total Claims
41
Patients Served
38
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 | $22.24 | 41 | 38 |
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