Based on public Medicaid payment data.
Xieng Khan Lee
Medicaid Provider in Fort Dodge, IA
Type
Individual Provider
Address
1622 1St Ave N
Fort Dodge, IA 505014214
Phone
5155762621
NPI
1326350182
Procedures
3
Total Claims
10.3K
Patients Served
8.9K
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 | $38.88 | 7,342 | 7,322 |
| Dental Filling | $67.45 | 1,832 | 926 |
| Tooth Extraction | $89.41 | 1,159 | 612 |
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