Based on public Medicaid payment data.
Hyun Suk Lee
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2523 S San Pedro St
Los Angeles, CA 900111519
Phone
2134417704
NPI
1447593991
Procedures
5
Total Claims
49.2K
Patients Served
41.3K
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 | $51.57 | 33,455 | 33,396 |
| Dental Filling | $62.97 | 12,659 | 6,017 |
| Tooth Extraction | $57.71 | 2,098 | 1,338 |
| Root Canal | $115.15 | 749 | 363 |
| Dental Crown | $476.00 | 256 | 163 |
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