Based on public Medicaid payment data.
Garrett Leong Lum
Medicaid Provider in Elk Grove, CA
Type
Individual Provider
Address
9184 E Stockton Blvd
Elk Grove, CA 956249510
Phone
9166861101
NPI
1295815447
Procedures
4
Total Claims
137.2K
Patients Served
117K
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 | $45.83 | 95,263 | 95,009 |
| Root Canal | $96.75 | 19,524 | 7,036 |
| Dental Filling | $63.99 | 16,443 | 11,581 |
| Tooth Extraction | $56.24 | 5,974 | 3,398 |
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