Based on public Medicaid payment data.
Seung-Hoon Lee
Medicaid Provider in Lewisville, TX
Type
Individual Provider
Address
930 W Main St
Lewisville, TX 750673516
Phone
4697022403
NPI
1942641238
Procedures
3
Total Claims
7.2K
Patients Served
6.4K
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 | $30.65 | 5,637 | 5,386 |
| Dental Filling | $43.98 | 1,477 | 946 |
| Tooth Extraction | $40.12 | 78 | 59 |
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