Based on public Medicaid payment data.
Taeyoung Kim
Medicaid Provider in Lake Katrine, NY
Type
Individual Provider
Address
1733 Ulster Ave
Lake Katrine, NY 124495426
Phone
8457649263
NPI
1073043402
Procedures
5
Total Claims
16.4K
Patients Served
15.2K
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 | $54.48 | 11,474 | 11,450 |
| Dental Filling | $177.70 | 3,247 | 2,536 |
| Dental Crown | $846.43 | 1,375 | 945 |
| Root Canal | $662.68 | 298 | 271 |
| Tooth Extraction | $182.35 | 34 | 26 |
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