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Based on public Medicaid payment data.

Ivana Feng Lee

Medicaid Provider in Tustin, CA

Type

Individual Provider

Address

15160 Kensington Park Dr Ste 610

Tustin, CA 927821825

Phone

7142624384

NPI

1043862600

Procedures

2

Total Claims

990

Patients Served

961

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 $42.06 940 940
Dental Filling $67.20 50 21

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