Based on public Medicaid payment data.
Mandana Goodarzi Logmanni
Medicaid Provider in Gaithersburg, MD
Type
Individual Provider
Address
8 Russell Ave
Gaithersburg, MD 208772966
Phone
3018692500
NPI
1447391503
Procedures
2
Total Claims
927
Patients Served
785
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 | $53.90 | 669 | 659 |
| Dental Filling | $129.47 | 258 | 126 |
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