Based on public Medicaid payment data.
Jared David Lee
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
10003 Nw Military Hwy Ste 3201
San Antonio, TX 782311892
Phone
2104174181
NPI
1669740759
Procedures
4
Total Claims
27.6K
Patients Served
25.7K
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 | $39.02 | 24,691 | 24,153 |
| Dental Filling | $73.07 | 2,147 | 1,144 |
| Tooth Extraction | $53.27 | 611 | 334 |
| Prescription Medications | $0.00 | 143 | 115 |
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