Based on public Medicaid payment data.
Juma Al Jariri
Medicaid Provider in Locust Grove, VA
Type
Individual Provider
Address
35352 Gosling Ln
Locust Grove, VA 225082186
Phone
5405384550
NPI
1770106585
Procedures
3
Total Claims
480
Patients Served
333
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 | $37.83 | 242 | 233 |
| Tooth Extraction | $94.95 | 211 | 85 |
| Dental Filling | $54.00 | 27 | 15 |
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