Based on public Medicaid payment data.
John D Kim
Medicaid Provider in Tyler, TX
Type
Individual Provider
Address
110 E 9Th St
Tyler, TX 757014227
Phone
9039914991
NPI
1720531403
Procedures
3
Total Claims
4.3K
Patients Served
3.7K
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 | $29.11 | 3,141 | 3,068 |
| Dental Filling | $82.13 | 996 | 525 |
| Tooth Extraction | $56.49 | 174 | 78 |
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