Based on public Medicaid payment data.
Kwonduk Jung
Medicaid Provider in Windham, ME
Type
Individual Provider
Address
840 Roosevelt Trl
Windham, ME 040625375
Phone
2078945580
NPI
1346024916
Procedures
4
Total Claims
1K
Patients Served
774
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 | $64.23 | 506 | 502 |
| Dental Filling | $131.53 | 289 | 170 |
| Tooth Extraction | $115.05 | 161 | 40 |
| Dental Crown | $563.59 | 82 | 62 |
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