Based on public Medicaid payment data.
Sang Mun Lee
Medicaid Provider in Fresh Meadows, NY
Type
Individual Provider
Address
18804 64Th Ave
Fresh Meadows, NY 11365
Phone
9174977710
NPI
1740269463
Procedures
4
Total Claims
16.5K
Patients Served
15.7K
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 | $28.75 | 13,855 | 13,846 |
| Dental Filling | $74.97 | 2,524 | 1,731 |
| Dental Crown | $421.16 | 44 | 36 |
| Tooth Extraction | $44.63 | 44 | 40 |
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