Based on public Medicaid payment data.
David Doo-Sang Lee
Medicaid Provider in Lodi, CA
Type
Individual Provider
Address
1745 W Kettleman Ln
Lodi, CA 952429287
Phone
7186404317
NPI
1194049072
Procedures
2
Total Claims
799
Patients Served
579
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 Filling | $64.78 | 571 | 351 |
| Dental Cleaning & Exam | $46.39 | 228 | 228 |
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