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Based on public Medicaid payment data.

Sun Ha Kim

Medicaid Provider in Woodbridge, VA

Type

Individual Provider

Address

12602 Lake Ridge Dr

Woodbridge, VA 221922335

Phone

7034905050

NPI

1083192397

Procedures

3

Total Claims

10.4K

Patients Served

9.8K

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 $14.26 8,812 8,693
Dental Filling $21.19 1,198 810
Tooth Extraction $14.16 380 264

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