Based on public Medicaid payment data.
Chris S Kim
Medicaid Provider in Gainesville, GA
Type
Individual Provider
Address
1221 Sherwood Park Dr Ne Ste C
Gainesville, GA 305013404
Phone
6783368720
NPI
1003293077
Procedures
2
Total Claims
1.9K
Patients Served
711
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 |
|---|---|---|---|
| Tooth Extraction | $219.05 | 1,810 | 625 |
| Dental Cleaning & Exam | $32.03 | 113 | 86 |
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