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Based on public Medicaid payment data.

Jin Koo Kim

Medicaid Provider in Sudbury, MA

Type

Individual Provider

Address

19 Demarco Rd

Sudbury, MA 017762019

Phone

3392213692

NPI

1306002480

Procedures

2

Total Claims

1.3K

Patients Served

1.2K

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 $42.00 1,081 1,044
Tooth Extraction $144.83 171 120

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