Based on public Medicaid payment data.
Tim Lee
Medicaid Provider in Roseville, CA
Type
Individual Provider
Address
9450 Fairway Dr
Roseville, CA 956783588
Phone
5042027789
NPI
1336461284
Procedures
1
Total Claims
179
Patients Served
76
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 |
|---|---|---|---|
| Tooth Extraction | $188.80 | 179 | 76 |
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