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Based on public Medicaid payment data.

Sara Raja

Medicaid Provider in Manassas, VA

Type

Individual Provider

Address

6954 Jeremiah Ct

Manassas, VA 201114392

Phone

5715941631

NPI

1497149132

Procedures

4

Total Claims

1.8K

Patients Served

1.7K

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 Filling $144.40 1,021 885
Dental Cleaning & Exam $29.19 764 764
Tooth Extraction $113.14 14 14
Dental Crown $893.20 12 12

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