Based on public Medicaid payment data.
Ayana Gallego
Medicaid Provider in Columbia, MD
Type
Individual Provider
Address
5500 Knoll North Dr Ste 370
Columbia, MD 210452393
Phone
4108372050
NPI
1184157950
Procedures
2
Total Claims
2K
Patients Served
1.9K
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 | $36.52 | 1,906 | 1,894 |
| Dental Filling | $130.88 | 86 | 50 |
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