Based on public Medicaid payment data.
Diana C Lee
Medicaid Provider in Redlands, CA
Type
Individual Provider
Address
991 Pine Ave Apt 2
Redlands, CA 923734599
Phone
2135196226
NPI
1578790465
Procedures
4
Total Claims
581
Patients Served
421
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 | $26.30 | 283 | 282 |
| Dental Filling | $64.75 | 209 | 101 |
| Root Canal | $99.40 | 51 | 17 |
| Tooth Extraction | $57.40 | 38 | 21 |
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