Based on public Medicaid payment data.
Samantha Leigh Dibenedetto
Medicaid Provider in Fairfax, VA
Type
Individual Provider
Address
8613 Route 29 # 200N
Fairfax, VA 220312171
Phone
5713508400
NPI
1295198695
Procedures
2
Total Claims
105
Patients Served
91
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $6.18 | 88 | 74 |
| Office Visit | $50.99 | 17 | 17 |
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