Based on public Medicaid payment data.
Dasum Lee
Medicaid Provider in Las Vegas, NV
Type
Individual Provider
Address
2250 S Rancho Dr Ste 205
Las Vegas, NV 891024456
Phone
9172545038
NPI
1902531833
Procedures
4
Total Claims
3.6K
Patients Served
2.8K
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 | $32.53 | 2,339 | 2,237 |
| Dental Filling | $39.48 | 845 | 349 |
| Tooth Extraction | $34.97 | 233 | 88 |
| Dental Crown | $375.64 | 209 | 135 |
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