Based on public Medicaid payment data.
Tae Soo Kim
Medicaid Provider in North Wales, PA
Type
Individual Provider
Address
275 Dekalb Pike Unit 101
North Wales, PA 194541807
Phone
2156993700
NPI
1689748642
Procedures
3
Total Claims
3.1K
Patients Served
2.4K
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 | $25.31 | 1,797 | 1,751 |
| Dental Filling | $62.08 | 1,107 | 596 |
| Tooth Extraction | $52.96 | 244 | 93 |
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