Based on public Medicaid payment data.
Gino Oscar Valdivieso
Medicaid Provider in Manassas, VA
Type
Individual Provider
Address
7806 Centreville Rd
Manassas, VA 201112231
Phone
7033681166
NPI
1326484825
Procedures
1
Total Claims
99
Patients Served
99
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 | $22.18 | 99 | 99 |
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