Based on public Medicaid payment data.
Jayun Joanna Kim
Medicaid Provider in Lewisville, TX
Type
Individual Provider
Address
4920 Tx-121 #200
Lewisville, TX 75056
Phone
9723004155
NPI
1194238956
Procedures
4
Total Claims
9K
Patients Served
7.6K
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 | $31.93 | 6,611 | 6,286 |
| Dental Filling | $54.44 | 1,994 | 1,028 |
| Tooth Extraction | $41.67 | 327 | 230 |
| Root Canal | $60.02 | 41 | 25 |
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