Based on public Medicaid payment data.
Ivan Lopez Sabarre
Medicaid Provider in Chantilly, VA
Type
Individual Provider
Address
4080 Lafayette Center Dr Ste 160-B
Chantilly, VA 201511247
Phone
7032301000
NPI
1801442991
Procedures
1
Total Claims
60
Patients Served
58
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 | $24.67 | 60 | 58 |
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