Based on public Medicaid payment data.
Joohan Lee
Medicaid Provider in Manchester, CT
Type
Individual Provider
Address
483 Middle Tpke W Ste 309
Manchester, CT 060403865
Phone
8606450111
NPI
1093442394
Procedures
3
Total Claims
4.9K
Patients Served
3.3K
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 | $27.66 | 3,188 | 2,637 |
| Tooth Extraction | $52.90 | 1,166 | 352 |
| Dental Filling | $65.13 | 499 | 280 |
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