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Based on public Medicaid payment data.

Shenouda Ibrahim

Medicaid Provider in Henrico, VA

Type

Individual Provider

Address

4244 Broad Hill Dr Unit A

Henrico, VA 232337819

Phone

5513586111

NPI

1477308955

Procedures

3

Total Claims

223

Patients Served

179

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 $0.00 117 117
Dental Filling $0.00 89 49
Tooth Extraction $0.00 17 13

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