Based on public Medicaid payment data.
Louis Bwana Kalombo
Medicaid Provider in Alexandria, VA
Type
Individual Provider
Address
5473 Anne Ly Ln
Alexandria, VA 223101878
Phone
7032828347
NPI
1053749119
Procedures
5
Total Claims
35K
Patients Served
25.8K
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 | $41.97 | 22,539 | 19,422 |
| Dental Filling | $90.73 | 4,975 | 3,067 |
| Tooth Extraction | $85.77 | 4,542 | 1,629 |
| Dental Crown | $435.65 | 2,711 | 1,476 |
| Root Canal | $536.28 | 242 | 198 |
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