Based on public Medicaid payment data.
Jiho Kim
Medicaid Provider in Round Rock, TX
Type
Individual Provider
Address
3000 Chisholm Trail Rd Unit 61
Round Rock, TX 786811998
Phone
3192138505
NPI
1740890714
Procedures
3
Total Claims
4.5K
Patients Served
3.3K
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 | $15.15 | 3,792 | 2,950 |
| Dental Filling | $35.58 | 617 | 355 |
| Tooth Extraction | $28.23 | 51 | 13 |
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