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Based on public Medicaid payment data.

Suk Ki Kathleen Lee

Medicaid Provider in Portland, OR

Type

Individual Provider

Address

1001 Sw 5Th Ave

Portland, OR 972041147

Phone

5032225355

NPI

1811017668

Procedures

2

Total Claims

985

Patients Served

927

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 $74.36 912 862
Root Canal $780.31 73 65

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