Based on public Medicaid payment data.
Ana Kim
Medicaid Provider in Rockville, MD
Type
Individual Provider
Address
5904 Hubbard Dr
Rockville, MD 208524823
Phone
3013778306
NPI
1316351364
Procedures
2
Total Claims
238
Patients Served
232
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 | $47.26 | 224 | 219 |
| Root Canal | $748.00 | 14 | 13 |
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