Based on public Medicaid payment data.
Jaeseong Park
Medicaid Provider in Springfield, MA
Type
Individual Provider
Address
800 Boston Rd
Springfield, MA 011191352
Phone
4137964700
NPI
1528682929
Procedures
5
Total Claims
11.2K
Patients Served
9.1K
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 | $38.38 | 8,113 | 7,378 |
| Dental Filling | $84.30 | 1,882 | 1,041 |
| Dental Crown | $631.25 | 907 | 520 |
| Tooth Extraction | $94.60 | 193 | 82 |
| Root Canal | $651.03 | 71 | 60 |
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