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Based on public Medicaid payment data.

Chantarat Techapanit

Medicaid Provider in Herndon, VA

Type

Individual Provider

Address

2472 Covered Wagon Ct

Herndon, VA 201714534

Phone

7032176480

NPI

1730323155

Procedures

1

Total Claims

53

Patients Served

53

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 $23.43 53 53

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