Based on public Medicaid payment data.
Ki Hoon Lee
Medicaid Provider in Sulphur Springs, TX
Type
Individual Provider
Address
422 Oak Ave
Sulphur Springs, TX 754824130
Phone
9038858906
NPI
1922538347
Procedures
2
Total Claims
370
Patients Served
284
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 | $28.92 | 246 | 226 |
| Dental Filling | $44.46 | 124 | 58 |
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