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Based on public Medicaid payment data.

Odontuya N/A Dovdon

Medicaid Provider in Fairfax, VA

Type

Individual Provider

Address

12253 Fairfield House Dr Apt 408

Fairfax, VA 220333972

Phone

7038872811

NPI

1336861988

Procedures

1

Total Claims

12

Patients Served

12

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
Office Visit $110.02 12 12

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