Based on public Medicaid payment data.
Tracy San Martin
Medicaid Provider in Potomac, MD
Type
Individual Provider
Address
7833 Whiterim Ter
Potomac, MD 208541772
Phone
3018015451
NPI
1215275326
Procedures
1
Total Claims
53
Patients Served
53
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 | $43.74 | 53 | 53 |
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