Based on public Medicaid payment data.
Jaemyun So
Medicaid Provider in Newark, NJ
Type
Individual Provider
Address
644 Mt. Prospect Ave
Newark, NJ 07104
Phone
9734813900
NPI
1831313493
Procedures
4
Total Claims
23.5K
Patients Served
17.3K
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 | $21.42 | 13,524 | 13,301 |
| Dental Filling | $43.08 | 9,378 | 3,649 |
| Tooth Extraction | $35.48 | 309 | 144 |
| Dental Crown | $321.23 | 281 | 192 |
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