Based on public Medicaid payment data.
Kwang-Lim Lee
Medicaid Provider in East Peoria, IL
Type
Individual Provider
Address
502 Riverside Dr
East Peoria, IL 616112068
Phone
3096065008
NPI
1942926068
Procedures
3
Total Claims
1.4K
Patients Served
1.4K
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 | $33.03 | 1,171 | 1,170 |
| Dental Filling | $57.39 | 242 | 190 |
| Tooth Extraction | $67.35 | 21 | 14 |
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