Based on public Medicaid payment data.
Jee S Lee
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
4330 Barranca Pkwy Ste 230
Irvine, CA 926044756
Phone
9497861234
NPI
1447444658
Procedures
4
Total Claims
7.1K
Patients Served
6.9K
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 | $53.34 | 6,796 | 6,762 |
| Dental Filling | $66.61 | 226 | 118 |
| Tooth Extraction | $119.00 | 21 | 14 |
| Dental Crown | $476.00 | 17 | 14 |
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