Based on public Medicaid payment data.
Jason Matthew Lee
Medicaid Provider in Oaklahoma City, OK
Type
Individual Provider
Address
5222 N Portland Ave
Oaklahoma City, OK 73112
Phone
4059471525
NPI
1245279769
Procedures
4
Total Claims
12.9K
Patients Served
10.4K
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 | $14.29 | 8,998 | 8,808 |
| Root Canal | $81.32 | 2,493 | 856 |
| Dental Filling | $88.21 | 1,350 | 678 |
| Tooth Extraction | $56.66 | 104 | 64 |
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