Based on public Medicaid payment data.
Mimi E Park
Medicaid Provider in Midlothian, VA
Type
Individual Provider
Address
14420 Sommerville Ct
Midlothian, VA 231136835
Phone
8048977900
NPI
1861705675
Procedures
3
Total Claims
3.5K
Patients Served
2.5K
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 | $28.47 | 2,118 | 1,944 |
| Dental Filling | $85.28 | 1,227 | 551 |
| Tooth Extraction | $45.02 | 118 | 27 |
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