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Based on public Medicaid payment data.

Jennifer Kim

Medicaid Provider in Fairfax, VA

Type

Individual Provider

Address

3903 Fair Ridge Dr Ste 212

Fairfax, VA 220332944

Phone

7038656880

NPI

1548433279

Procedures

1

Total Claims

29

Patients Served

29

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 $25.68 29 29

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