Based on public Medicaid payment data.
Susan Emily Kim
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3030 Lbj Fwy Ste 1700
Dallas, TX 752342759
Phone
2105677000
NPI
1528767472
Procedures
2
Total Claims
558
Patients Served
459
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 | $24.16 | 517 | 447 |
| Dental Filling | $89.89 | 41 | 12 |
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