Based on public Medicaid payment data.
Elizabeth Mojares
Medicaid Provider in Portsmouth, VA
Type
Individual Provider
Address
664 Lincoln St
Portsmouth, VA 237044818
Phone
7573936363
NPI
1063490308
Procedures
2
Total Claims
1.4K
Patients Served
868
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 | $20.16 | 1,085 | 770 |
| Tooth Extraction | $38.65 | 291 | 98 |
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