Based on public Medicaid payment data.
Kiwoong Lee
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
412 Santa Barbara
Irvine, CA 926068889
Phone
9492331345
NPI
1245308667
Procedures
5
Total Claims
5.6K
Patients Served
4.6K
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 | $43.98 | 3,267 | 3,261 |
| Dental Filling | $64.50 | 2,014 | 1,198 |
| Tooth Extraction | $76.60 | 338 | 111 |
| Root Canal | $463.40 | 14 | 13 |
| Dental Crown | $476.00 | 12 | 12 |
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