Based on public Medicaid payment data.
Jin Song
Medicaid Provider in Kennewick, WA
Type
Individual Provider
Address
2611 S Quillan Pl Ste 110
Kennewick, WA 993381899
Phone
5095855437
NPI
1023456753
Procedures
3
Total Claims
6.8K
Patients Served
6.4K
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 | $33.46 | 5,325 | 5,310 |
| Dental Filling | $77.75 | 1,367 | 1,020 |
| Tooth Extraction | $53.28 | 96 | 74 |
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