Based on public Medicaid payment data.
Assefa Tesega Demewoz
Medicaid Provider in Lorton, VA
Type
Individual Provider
Address
7746 Gunston Plz
Lorton, VA 220791897
Phone
7033486969
NPI
1932458007
Procedures
1
Total Claims
432
Patients Served
419
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 | $24.40 | 432 | 419 |
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