Based on public Medicaid payment data.
Dong Won Kim
Medicaid Provider in Lowell, MA
Type
Individual Provider
Address
133 Market St
Lowell, MA 018521808
Phone
9784581179
NPI
1679694293
Procedures
5
Total Claims
22.2K
Patients Served
19.9K
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 | $39.87 | 17,895 | 17,283 |
| Dental Filling | $75.30 | 1,962 | 1,214 |
| Dental Crown | $682.50 | 1,249 | 818 |
| Tooth Extraction | $124.89 | 1,006 | 467 |
| Root Canal | $625.66 | 88 | 72 |
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