Based on public Medicaid payment data.
Young Kyu Kim
Medicaid Provider in Mansfield, TX
Type
Individual Provider
Address
2771 E Broad St Ste 221
Mansfield, TX 760639157
Phone
8174732277
NPI
1093284929
Procedures
3
Total Claims
1.6K
Patients Served
899
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 Filling | $80.21 | 1,056 | 368 |
| Dental Cleaning & Exam | $34.84 | 542 | 519 |
| Tooth Extraction | $6.48 | 23 | 12 |
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