Based on public Medicaid payment data.
Diana Jin
Medicaid Provider in Suwanee, GA
Type
Individual Provider
Address
4323 Tacoma Trce
Suwanee, GA 300248731
Phone
6262462429
NPI
1942675723
Procedures
4
Total Claims
11.9K
Patients Served
10.9K
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 | $25.79 | 8,114 | 8,057 |
| Dental Filling | $58.10 | 3,407 | 2,527 |
| Tooth Extraction | $50.61 | 284 | 220 |
| Root Canal | $97.65 | 66 | 60 |
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