Based on public Medicaid payment data.
Han Som Lee
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
3457 Arlington Ave Ste 109
Riverside, CA 925063220
Phone
9517425208
NPI
1003680893
Procedures
4
Total Claims
6.5K
Patients Served
4.9K
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 | $59.88 | 3,408 | 3,405 |
| Dental Filling | $62.99 | 2,067 | 1,042 |
| Root Canal | $99.40 | 537 | 171 |
| Tooth Extraction | $57.02 | 449 | 236 |
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