Based on public Medicaid payment data.
Kunmin Roo
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
5025 Utica Ridge Rd Ste 103
Davenport, IA 528073035
Phone
5633458888
NPI
1083105878
Procedures
5
Total Claims
17.9K
Patients Served
13.6K
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 | $25.59 | 9,152 | 8,781 |
| Dental Filling | $64.07 | 5,777 | 3,482 |
| Tooth Extraction | $70.73 | 2,545 | 1,037 |
| Dental Crown | $238.92 | 293 | 152 |
| Root Canal | $146.01 | 134 | 120 |
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