Based on public Medicaid payment data.
Jinyoung Kim
Medicaid Provider in Madison, WI
Type
Individual Provider
Address
706 S Gammon Rd
Madison, WI 537191302
Phone
8889884066
NPI
1942721931
Procedures
3
Total Claims
11.3K
Patients Served
9.9K
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 | $19.99 | 8,894 | 8,643 |
| Dental Filling | $47.03 | 1,506 | 886 |
| Tooth Extraction | $45.27 | 874 | 370 |
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