Based on public Medicaid payment data.
Sae Chan Lee
Medicaid Provider in Des Moines, WA
Type
Individual Provider
Address
26401 Pacific Hwy S
Des Moines, WA 981989247
Phone
2068703600
NPI
1700245248
Procedures
5
Total Claims
20.6K
Patients Served
17K
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 | $60.78 | 13,190 | 13,083 |
| Dental Filling | $64.64 | 4,713 | 2,366 |
| Tooth Extraction | $57.05 | 1,412 | 756 |
| Dental Crown | $476.00 | 647 | 415 |
| Root Canal | $208.81 | 606 | 356 |
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