Based on public Medicaid payment data.
Sang Wook Lee
Medicaid Provider in Annandale, VA
Type
Individual Provider
Address
7535 Little River Tpke Ste 310C
Annandale, VA 220032989
Phone
2023521444
NPI
1942467055
Procedures
2
Total Claims
11.3K
Patients Served
11K
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 | $25.74 | 10,797 | 10,708 |
| Dental Filling | $67.32 | 530 | 244 |
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