Based on public Medicaid payment data.
Chang Joo Lee
Medicaid Provider in Derry, NH
Type
Individual Provider
Address
4 Manchester Ave
Derry, NH 030381931
Phone
6034341586
NPI
1386138170
Procedures
3
Total Claims
2.9K
Patients Served
2.7K
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 | $42.62 | 2,378 | 2,369 |
| Dental Filling | $122.59 | 440 | 251 |
| Tooth Extraction | $124.42 | 68 | 37 |
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