Based on public Medicaid payment data.
Mina T Mostofi
Medicaid Provider in Lake Ridge, VA
Type
Individual Provider
Address
12724 Directors Loop
Lake Ridge, VA 221922462
Phone
7034949171
NPI
1972787380
Procedures
3
Total Claims
2.9K
Patients Served
2.8K
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 | $32.50 | 2,583 | 2,531 |
| Dental Filling | $89.59 | 288 | 213 |
| Tooth Extraction | $69.00 | 26 | 16 |
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