Based on public Medicaid payment data.
John J Lee
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
2341 Se 122Nd
Portland, OR 97233
Phone
5032552415
NPI
1518020643
Procedures
2
Total Claims
336
Patients Served
251
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 | $20.85 | 172 | 157 |
| Dental Filling | $57.43 | 164 | 94 |
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