Based on public Medicaid payment data.
Jaemin Song
Medicaid Provider in New York, NY
Type
Individual Provider
Address
145 Canal St Fl 2
New York, NY 100025033
Phone
9173883678
NPI
1497376560
Procedures
4
Total Claims
3.5K
Patients Served
3K
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 | $39.21 | 2,834 | 2,585 |
| Dental Filling | $67.63 | 624 | 354 |
| Tooth Extraction | $55.86 | 28 | 12 |
| Dental Crown | $633.71 | 14 | 12 |
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