Based on public Medicaid payment data.
Madhumitha Ambalavanan
Medicaid Provider in Ellicott City, MD
Type
Individual Provider
Address
9200 Baltimore National Pike
Ellicott City, MD 210422613
Phone
4104809800
NPI
1659601656
Procedures
2
Total Claims
743
Patients Served
518
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 | $50.89 | 413 | 410 |
| Dental Filling | $170.50 | 330 | 108 |
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