Based on public Medicaid payment data.
Irelsy Alexandra Rivera Velazquez
Medicaid Provider in Annandale, VA
Type
Individual Provider
Address
7611 Little River Tpke Ste 101E
Annandale, VA 220032630
Phone
7879495828
NPI
1538513536
Procedures
1
Total Claims
22
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 | $30.81 | 22 | 15 |
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