Based on public Medicaid payment data.
Fernanda Gurgel Levine
Medicaid Provider in Mc Lean, VA
Type
Individual Provider
Address
6707 Old Dominion Dr Ste 230
Mc Lean, VA 221014507
Phone
2026809272
NPI
1063768034
Procedures
1
Total Claims
174
Patients Served
174
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 | $31.94 | 174 | 174 |
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