Based on public Medicaid payment data.
Suho Lee
Medicaid Provider in Maywood, NJ
Type
Individual Provider
Address
240 W Passaic St
Maywood, NJ 076071264
Phone
2018434800
NPI
1003828732
Procedures
3
Total Claims
50K
Patients Served
43.7K
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 | $40.67 | 40,625 | 39,208 |
| Dental Filling | $97.52 | 7,842 | 3,561 |
| Tooth Extraction | $95.42 | 1,537 | 896 |
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