Based on public Medicaid payment data.
Josemari Deleon Imao
Medicaid Provider in Fredericksburg, VA
Type
Individual Provider
Address
159 Lichfield Blvd
Fredericksburg, VA 22406
Phone
5403732273
NPI
1841444965
Procedures
2
Total Claims
598
Patients Served
580
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 | $18.22 | 568 | 568 |
| Dental Filling | $96.56 | 30 | 12 |
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