Based on public Medicaid payment data.
Grace Eunah Lee
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
11016 Via Del Corso
Riverside, CA 925052384
Phone
9517296866
NPI
1184054058
Procedures
3
Total Claims
1.4K
Patients Served
1.3K
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 | $34.06 | 1,137 | 1,135 |
| Dental Filling | $64.33 | 243 | 119 |
| Tooth Extraction | $119.00 | 18 | 12 |
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