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Based on public Medicaid payment data.

Jayamole Zachariah

Medicaid Provider in Ashburn, VA

Type

Individual Provider

Address

21406 Ashburn Run Pl

Ashburn, VA 201475347

Phone

2403382052

NPI

1801270467

Procedures

3

Total Claims

12K

Patients Served

11.3K

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 $36.19 9,943 9,810
Dental Filling $95.10 1,978 1,386
Tooth Extraction $69.00 115 89

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