Based on public Medicaid payment data.
Jessica Moore
Medicaid Provider in Charlottesville, VA
Type
Individual Provider
Address
1470 Pantops Mountain Pl
Charlottesville, VA 229114600
Phone
4348171817
NPI
1295174282
Procedures
3
Total Claims
23.5K
Patients Served
19.3K
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 | $26.51 | 16,054 | 15,839 |
| Dental Filling | $73.29 | 4,414 | 2,347 |
| Tooth Extraction | $60.35 | 3,080 | 1,156 |
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