Based on public Medicaid payment data.
Kyeung Mok Kim
Medicaid Provider in Desoto, TX
Type
Individual Provider
Address
602 N Hampton Rd
Desoto, TX 751154508
Phone
9728460581
NPI
1770358830
Procedures
2
Total Claims
677
Patients Served
667
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 | $51.48 | 635 | 635 |
| Tooth Extraction | $57.40 | 42 | 32 |
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