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Based on public Medicaid payment data.

Denise Vivian Halliburton

Medicaid Provider in Ellicott City, MD

Type

Individual Provider

Address

5096 Dorsey Hall Dr Ste 106

Ellicott City, MD 210427711

Phone

9176870722

NPI

1679704290

Procedures

2

Total Claims

161

Patients Served

140

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 $38.80 132 124
Dental Filling $120.00 29 16

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