Based on public Medicaid payment data.
Lini Cai Mickus
Medicaid Provider in Herndon, VA
Type
Individual Provider
Address
1141 Elden St
Herndon, VA 201705549
Phone
7034432000
NPI
1033343645
Procedures
2
Total Claims
178
Patients Served
145
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 | $0.41 | 147 | 133 |
| Tooth Extraction | $0.00 | 31 | 12 |
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