Based on public Medicaid payment data.
Peter Lee
Medicaid Provider in Honolulu, HI
Type
Individual Provider
Address
2428 Manoa Rd
Honolulu, HI 968221902
Phone
8082253357
NPI
1477803864
Procedures
4
Total Claims
22.7K
Patients Served
21.3K
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 | $37.22 | 20,034 | 20,033 |
| Tooth Extraction | $69.80 | 1,519 | 789 |
| Dental Filling | $93.01 | 778 | 349 |
| Root Canal | $82.93 | 367 | 178 |
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