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Based on public Medicaid payment data.

Jae Bum Lee

Medicaid Provider in Burbank, CA

Type

Individual Provider

Address

401 S Glenoaks Blvd Ste 100

Burbank, CA 915022707

Phone

8185664438

NPI

1609217736

Procedures

4

Total Claims

7.6K

Patients Served

6.9K

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 $71.01 5,789 5,776
Tooth Extraction $117.06 811 456
Dental Filling $66.02 648 400
Dental Crown $476.00 320 224

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