Based on public Medicaid payment data.
Beom Young Lee
Medicaid Provider in Manitowoc, WI
Type
Individual Provider
Address
2719 Calumet Ave
Manitowoc, WI 542205546
Phone
9207836633
NPI
1366166621
Procedures
2
Total Claims
54
Patients Served
47
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 | $0.00 | 30 | 29 |
| Dental Filling | $0.00 | 24 | 18 |
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