Based on public Medicaid payment data.
So Jung Lee
Medicaid Provider in Centreville, VA
Type
Individual Provider
Address
13880 Braddock Rd Ste 109
Centreville, VA 201212460
Phone
7038309990
NPI
1821612904
Procedures
2
Total Claims
174
Patients Served
140
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 | $25.25 | 150 | 125 |
| Dental Filling | $59.58 | 24 | 15 |
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