Based on public Medicaid payment data.
Collin Kyongmin Lee
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1000 E Washington Blvd Ste 112
Los Angeles, CA 900213070
Phone
2139735180
NPI
1427604776
Procedures
5
Total Claims
54.4K
Patients Served
39.6K
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 | $62.17 | 29,262 | 29,032 |
| Dental Filling | $69.55 | 10,376 | 3,830 |
| Root Canal | $107.71 | 7,362 | 2,774 |
| Tooth Extraction | $62.81 | 6,439 | 3,277 |
| Dental Crown | $476.00 | 922 | 651 |
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