Based on public Medicaid payment data.
Tesfaye Hailemariam
Medicaid Provider in Alexandria, VA
Type
Individual Provider
Address
85 S Bragg St
Alexandria, VA 223122797
Phone
7032567711
NPI
1851302012
Procedures
4
Total Claims
4.6K
Patients Served
3.6K
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 | $18.80 | 2,751 | 2,720 |
| Dental Filling | $42.31 | 1,744 | 808 |
| Dental Crown | $60.87 | 115 | 76 |
| Tooth Extraction | $0.00 | 28 | 15 |
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