Based on public Medicaid payment data.
Jason J Lee
Medicaid Provider in Elm City, NC
Type
Individual Provider
Address
8282 Nc 58 S
Elm City, NC 278228079
Phone
2524437764
NPI
1215956628
Procedures
2
Total Claims
458
Patients Served
429
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 | $25.39 | 441 | 414 |
| Dental Filling | $94.44 | 17 | 15 |
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