Based on public Medicaid payment data.
Suyon Lee Park
Medicaid Provider in Atlanta, GA
Type
Individual Provider
Address
1350 Spring St Nw
Atlanta, GA 303092864
Phone
4043891950
NPI
1447486105
Procedures
3
Total Claims
17K
Patients Served
16.3K
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 | $27.85 | 14,971 | 14,862 |
| Dental Filling | $85.36 | 1,644 | 1,243 |
| Tooth Extraction | $70.44 | 366 | 227 |
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