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Based on public Medicaid payment data.

Gi Tae Kwon

Medicaid Provider in New London, CT

Type

Individual Provider

Address

258 S Frontage Rd

New London, CT 063202641

Phone

8604373462

NPI

1649795964

Procedures

5

Total Claims

28.4K

Patients Served

21.5K

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 $30.99 20,269 17,867
Dental Filling $102.34 5,368 2,689
Tooth Extraction $64.69 2,390 789
Root Canal $242.59 283 126
Dental Crown $242.54 68 56

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