Based on public Medicaid payment data.
Soyoung Kim
Medicaid Provider in Leominster, MA
Type
Individual Provider
Address
55 Sack Blvd
Leominster, MA 014533325
Phone
9784666800
NPI
1891127106
Procedures
3
Total Claims
16.7K
Patients Served
15.1K
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 | $42.08 | 13,125 | 12,966 |
| Dental Filling | $79.01 | 3,176 | 1,809 |
| Tooth Extraction | $128.73 | 419 | 329 |
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