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Based on public Medicaid payment data.

Derek A Siemon

Medicaid Provider in Annapolis, MD

Type

Individual Provider

Address

1833G Forest Dr

Annapolis, MD 214014429

Phone

4102637338

NPI

1700893856

Procedures

1

Total Claims

418

Patients Served

414

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 $36.37 418 414

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