Based on public Medicaid payment data.
Yeon Soo Kim
Medicaid Provider in Moline, IL
Type
Individual Provider
Address
4601 16Th St
Moline, IL 612657000
Phone
3097970888
NPI
1851016414
Procedures
2
Total Claims
3.9K
Patients Served
3.7K
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 | $32.72 | 3,426 | 3,407 |
| Tooth Extraction | $106.85 | 428 | 272 |
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