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Based on public Medicaid payment data.

Dr.Sivakumar Pediatric Dental Center Llc

Medicaid Provider in Frederick, MD

Type

Organization

Address

52 Thomas Johnson Dr

Frederick, MD 217024501

Phone

3016310501

NPI

1649441494

Procedures

2

Total Claims

362

Patients Served

306

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 $0.00 234 234
Dental Filling $0.00 128 72

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