Based on public Medicaid payment data.
Jae Sung Park
Medicaid Provider in Rock Hill, SC
Type
Individual Provider
Address
1578 Constitution Blvd
Rock Hill, SC 297323543
Phone
8033661456
NPI
1134551716
Procedures
2
Total Claims
564
Patients Served
526
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 | $42.10 | 490 | 490 |
| Dental Filling | $91.67 | 74 | 36 |
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