Based on public Medicaid payment data.
Soo Yun Stacy Lee
Medicaid Provider in White Plains, MD
Type
Individual Provider
Address
10665 Stanhaven Pl
White Plains, MD 206953060
Phone
3016325480
NPI
1114015948
Procedures
1
Total Claims
15
Patients Served
15
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 | $43.20 | 15 | 15 |
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