Based on public Medicaid payment data.
Pediatric Dental Care Of Tidewater Pc
Medicaid Provider in Portsmouth, VA
Type
Organization
Address
5915 High Street West
Portsmouth, VA 23703
Phone
7574848262
NPI
1891915112
Procedures
1
Total Claims
17
Patients Served
12
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 | $0.00 | 17 | 12 |
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