Based on public Medicaid payment data.
Monleudy Keo Bracken
Medicaid Provider in Portsmouth, VA
Type
Individual Provider
Address
4072 Victory Blvd
Portsmouth, VA 237012820
Phone
7574056293
NPI
1679887509
Procedures
4
Total Claims
2.3K
Patients Served
1.8K
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 | $33.93 | 1,341 | 1,320 |
| Dental Filling | $103.66 | 703 | 373 |
| Tooth Extraction | $155.09 | 204 | 94 |
| Dental Crown | $495.24 | 21 | 15 |
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