Based on public Medicaid payment data.
Carola De La Cruz
Medicaid Provider in Leesburg, VA
Type
Individual Provider
Address
1509 Dodona Ter
Leesburg, VA 201754709
Phone
5712930244
NPI
1902057979
Procedures
2
Total Claims
6.7K
Patients Served
6.6K
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 | $22.90 | 6,643 | 6,563 |
| Dental Filling | $69.87 | 71 | 51 |
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