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Based on public Medicaid payment data.

Song Yong Park

Medicaid Provider in Hogansburg, NY

Type

Individual Provider

Address

412 State Route 37

Hogansburg, NY 136553109

Phone

5183583141

NPI

1225486947

Procedures

3

Total Claims

9.9K

Patients Served

4.7K

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 $27.73 6,789 3,166
Dental Filling $58.66 2,708 1,402
Tooth Extraction $47.71 369 167

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