Based on public Medicaid payment data.
Jae Sung Lee
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
6316 E Independence Blvd
Charlotte, NC 282126953
Phone
9802653180
NPI
1942824263
Procedures
3
Total Claims
1.3K
Patients Served
804
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 | $24.92 | 1,186 | 779 |
| Dental Filling | $57.72 | 46 | 13 |
| Tooth Extraction | $30.73 | 30 | 12 |
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