Based on public Medicaid payment data.
Samon Nazemian
Medicaid Provider in Fairfax, VA
Type
Individual Provider
Address
3700 Joseph Siewick Dr
Fairfax, VA 220331744
Phone
7036209122
NPI
1720640790
Procedures
4
Total Claims
986
Patients Served
841
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 | $28.77 | 685 | 677 |
| Dental Filling | $82.39 | 191 | 106 |
| Tooth Extraction | $67.44 | 56 | 29 |
| Root Canal | $83.19 | 54 | 29 |
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