Based on public Medicaid payment data.
William A Santo Domingo
Medicaid Provider in Oakton, VA
Type
Individual Provider
Address
2915 Hunter Mill Rd Ste 9&10
Oakton, VA 221241716
Phone
7036828575
NPI
1184847352
Procedures
3
Total Claims
3.6K
Patients Served
2.8K
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 | $15.95 | 3,286 | 2,665 |
| Tooth Extraction | $23.70 | 143 | 74 |
| Dental Filling | $34.60 | 127 | 82 |
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