Based on public Medicaid payment data.
Youngjoon Lee Kim
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
13032 Nacogdoches Rd Ste 202
San Antonio, TX 782171962
Phone
9096027007
NPI
1922618297
Procedures
3
Total Claims
24.3K
Patients Served
18.8K
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 | $39.15 | 16,563 | 15,748 |
| Dental Filling | $82.29 | 7,129 | 2,766 |
| Tooth Extraction | $37.45 | 619 | 281 |
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