Based on public Medicaid payment data.
Seounghui Lee
Medicaid Provider in Daly City, CA
Type
Individual Provider
Address
123 Skyline Dr
Daly City, CA 940154534
Phone
7146839633
NPI
1447862966
Procedures
4
Total Claims
55.2K
Patients Served
46K
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 | $57.27 | 35,129 | 34,956 |
| Dental Filling | $65.23 | 13,527 | 7,897 |
| Tooth Extraction | $57.33 | 3,881 | 2,116 |
| Root Canal | $99.21 | 2,619 | 993 |
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