Based on public Medicaid payment data.
So Yeon Lee
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
820 Locust St
Pasadena, CA 911015611
Phone
3109992196
NPI
1730578923
Procedures
5
Total Claims
19.4K
Patients Served
16.5K
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 | $56.71 | 13,046 | 13,021 |
| Tooth Extraction | $86.81 | 3,048 | 1,712 |
| Dental Filling | $56.93 | 1,458 | 709 |
| Root Canal | $205.21 | 1,170 | 602 |
| Dental Crown | $475.64 | 657 | 436 |
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