Based on public Medicaid payment data.
Maryam Avin
Medicaid Provider in Leesburg, VA
Type
Individual Provider
Address
19366 Diamond Lake Dr
Leesburg, VA 201766574
Phone
7036873255
NPI
1871640870
Procedures
3
Total Claims
615
Patients Served
526
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 | $14.00 | 493 | 488 |
| Dental Filling | $89.18 | 66 | 13 |
| Dental Crown | $0.00 | 56 | 25 |
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