Based on public Medicaid payment data.
Ethelyn Jean Pak
Medicaid Provider in Smyrna, TN
Type
Individual Provider
Address
440 Sam Ridley Pkwy W
Smyrna, TN 371672998
Phone
6156252955
NPI
1083168538
Procedures
2
Total Claims
7.3K
Patients Served
6.6K
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 | $30.32 | 6,056 | 5,981 |
| Dental Filling | $68.30 | 1,238 | 640 |
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