Based on public Medicaid payment data.
John Kim
Medicaid Provider in White Plains, NY
Type
Individual Provider
Address
47 Mamaroneck Ave
White Plains, NY 106014215
Phone
9149970566
NPI
1821327446
Procedures
2
Total Claims
2.1K
Patients Served
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 | $23.89 | 1,917 | 1,890 |
| Dental Filling | $92.01 | 143 | 72 |
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