Based on public Medicaid payment data.
Chia-Yu Lotus Su
Medicaid Provider in Lakewood, WA
Type
Individual Provider
Address
6015 100Th St Sw
Lakewood, WA 984992733
Phone
4123107124
NPI
1700907987
Procedures
4
Total Claims
112.3K
Patients Served
82.5K
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 | $25.76 | 72,790 | 70,531 |
| Dental Filling | $56.06 | 33,680 | 9,469 |
| Tooth Extraction | $53.95 | 3,597 | 1,627 |
| Root Canal | $81.52 | 2,241 | 835 |
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