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Based on public Medicaid payment data.

Josephina Lac

Medicaid Provider in Glen Allen, VA

Type

Individual Provider

Address

10164 W Broad St

Glen Allen, VA 230603303

Phone

8049185850

NPI

1417177379

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 $20.23 1,643 1,616
Dental Filling $85.45 798 346
Tooth Extraction $25.00 61 24

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