Based on public Medicaid payment data.
Joon Kim
Medicaid Provider in Vienna, VA
Type
Individual Provider
Address
8133 Leesburg Pike
Vienna, VA 221822751
Phone
7039927888
NPI
1972919058
Procedures
3
Total Claims
2.2K
Patients Served
1.5K
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 |
|---|---|---|---|
| Tooth Extraction | $93.95 | 1,239 | 647 |
| Dental Cleaning & Exam | $23.36 | 857 | 839 |
| Dental Filling | $89.18 | 73 | 37 |
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