Based on public Medicaid payment data.
Kathy L Le
Medicaid Provider in Fairfax, VA
Type
Individual Provider
Address
3966 Bradwater St
Fairfax, VA 220313703
Phone
7034724943
NPI
1609003425
Procedures
2
Total Claims
282
Patients Served
272
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 | $25.67 | 252 | 247 |
| Root Canal | $794.43 | 30 | 25 |
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