Based on public Medicaid payment data.
Richard Sun
Medicaid Provider in Gaithersburg, MD
Type
Individual Provider
Address
9087 Shady Grove Ct
Gaithersburg, MD 208771301
Phone
3019216338
NPI
1861525958
Procedures
3
Total Claims
2.5K
Patients Served
2K
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 | $23.10 | 1,481 | 1,461 |
| Dental Filling | $82.17 | 1,016 | 491 |
| Dental Crown | $0.00 | 15 | 13 |
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