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Based on public Medicaid payment data.

Dongsoo David Kim

Medicaid Provider in Shreveport, LA

Type

Individual Provider

Address

1501 Kings Hwy

Shreveport, LA 711034228

Phone

3188132625

NPI

1821016957

Procedures

3

Total Claims

6.1K

Patients Served

1.5K

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
Tooth Extraction $19.83 4,976 551
Office Visit $28.06 814 660
Dental Cleaning & Exam $10.45 313 258

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