Based on public Medicaid payment data.
Samuel Eungook Kim
Medicaid Provider in Glen Rock, NJ
Type
Individual Provider
Address
385 S Maple Ave Ste 207
Glen Rock, NJ 074521545
Phone
2013802236
NPI
1437783107
Procedures
2
Total Claims
157
Patients Served
125
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 | 135 | 109 |
| Tooth Extraction | $124.09 | 22 | 16 |
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