Based on public Medicaid payment data.
Thomas K Lee
Medicaid Provider in Tamuning, GU
Type
Individual Provider
Address
761 S Marine Corps Dr
Tamuning, GU 969133523
Phone
6719698533
NPI
1356483259
Procedures
4
Total Claims
60.9K
Patients Served
43.7K
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 | $60.89 | 26,152 | 25,949 |
| Dental Filling | $104.17 | 23,688 | 12,475 |
| Root Canal | $113.19 | 6,892 | 2,636 |
| Tooth Extraction | $161.73 | 4,120 | 2,633 |
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