Based on public Medicaid payment data.
Nirmal Cuda Bogollagama
Medicaid Provider in Manassas, VA
Type
Individual Provider
Address
10751 Ambassador Dr # 101
Manassas, VA 201092627
Phone
7033696969
NPI
1407183478
Procedures
2
Total Claims
2.1K
Patients Served
1.9K
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 | $23.22 | 1,880 | 1,767 |
| Dental Filling | $71.21 | 235 | 109 |
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