Based on public Medicaid payment data.
Sammy Sunghyun Lim
Medicaid Provider in Irving, TX
Type
Individual Provider
Address
1417 N Belt Line Rd
Irving, TX 750611501
Phone
9728701200
NPI
1508024712
Procedures
3
Total Claims
12.6K
Patients Served
12.1K
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 | $35.05 | 11,561 | 11,443 |
| Dental Filling | $84.20 | 1,027 | 620 |
| Tooth Extraction | $42.71 | 24 | 12 |
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