Based on public Medicaid payment data.
Tracy Kim
Medicaid Provider in Woodside, NY
Type
Individual Provider
Address
3905 61St St
Woodside, NY 113773566
Phone
9179637230
NPI
1174938559
Procedures
4
Total Claims
22.5K
Patients Served
22.1K
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 | $31.13 | 19,576 | 19,509 |
| Dental Filling | $77.84 | 1,588 | 1,341 |
| Tooth Extraction | $52.59 | 1,229 | 1,169 |
| Root Canal | $88.02 | 110 | 106 |
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