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Based on public Medicaid payment data.

Susan Ly

Medicaid Provider in Chantilly, VA

Type

Individual Provider

Address

14391 Chantilly Crossing Ln

Chantilly, VA 201512118

Phone

7038170748

NPI

1154686889

Procedures

1

Total Claims

24

Patients Served

24

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
Eye Exam $0.00 24 24

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