Based on public Medicaid payment data.
Sang-Mok Samuel Lee
Medicaid Provider in Garden Grove, CA
Type
Individual Provider
Address
9862 Chapman Ave Ste B
Garden Grove, CA 928412726
Phone
7145379380
NPI
1871639948
Procedures
1
Total Claims
106
Patients Served
103
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 | $49.19 | 106 | 103 |
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