Based on public Medicaid payment data.
Sue K Moon
Medicaid Provider in Leesburg, VA
Type
Individual Provider
Address
2 Cardinal Park Dr Se
Leesburg, VA 201754448
Phone
7037711515
NPI
1164548806
Procedures
1
Total Claims
14
Patients Served
14
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 | $0.00 | 14 | 14 |
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