Based on public Medicaid payment data.
Luis Loza
Medicaid Provider in Leesburg, VA
Type
Individual Provider
Address
602 S King St
Leesburg, VA 201753919
Phone
7037772442
NPI
1265584007
Procedures
2
Total Claims
3.5K
Patients Served
3.2K
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 | $24.93 | 3,217 | 3,034 |
| Dental Filling | $77.91 | 306 | 155 |
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