Based on public Medicaid payment data.
Juan Kim
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
2101 Charlotte St Ste 310
Kansas City, MO 641082727
Phone
8164040500
NPI
1356717987
Procedures
3
Total Claims
570
Patients Served
442
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 | $33.94 | 318 | 307 |
| Dental Filling | $43.99 | 132 | 102 |
| Tooth Extraction | $44.28 | 120 | 33 |
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