Based on public Medicaid payment data.
Sodam Lee
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
6243 Retail Rd Ste 100
Dallas, TX 752317845
Phone
2147574500
NPI
1164717674
Procedures
1
Total Claims
22
Patients Served
19
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 | $43.20 | 22 | 19 |
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