Based on public Medicaid payment data.
Brian Thomas Kim
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
5105 Jersey Ridge Rd
Davenport, IA 528073134
Phone
5636501362
NPI
1639511991
Procedures
1
Total Claims
974
Patients Served
957
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 | $23.84 | 974 | 957 |
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