Based on public Medicaid payment data.
Fernanda Geaquinto Fontes
Medicaid Provider in Chantilly, VA
Type
Individual Provider
Address
4229 Lafayette Center Dr Ste 1400
Chantilly, VA 201511267
Phone
7033782000
NPI
1740300904
Procedures
4
Total Claims
17.4K
Patients Served
15.1K
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 | $24.75 | 13,046 | 12,991 |
| Dental Filling | $80.06 | 3,246 | 1,547 |
| Tooth Extraction | $63.80 | 1,107 | 585 |
| Root Canal | $236.59 | 38 | 26 |
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