Based on public Medicaid payment data.
Lila Kim
Medicaid Provider in Lorton, VA
Type
Individual Provider
Address
9010 Lorton Station Blvd Ste 140
Lorton, VA 220794794
Phone
7034364633
NPI
1629119300
Procedures
2
Total Claims
227
Patients Served
226
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 | $61.37 | 207 | 207 |
| Tooth Extraction | $74.70 | 20 | 19 |
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