Based on public Medicaid payment data.
Bounghoon Lee
Medicaid Provider in Litchfield Park, AZ
Type
Individual Provider
Address
5220 N Dysart Rd Ste 108
Litchfield Park, AZ 853403046
Phone
6235470011
NPI
1215343512
Procedures
3
Total Claims
2K
Patients Served
1.1K
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 | $21.44 | 1,537 | 905 |
| Dental Filling | $53.67 | 420 | 127 |
| Root Canal | $323.28 | 79 | 37 |
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