Based on public Medicaid payment data.
Arya Mazda Mansouri
Medicaid Provider in Reston, VA
Type
Individual Provider
Address
1334 Dasher Ln
Reston, VA 201903940
Phone
7037172408
NPI
1346859717
Procedures
3
Total Claims
3.1K
Patients Served
2.7K
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 | $18.46 | 2,531 | 2,419 |
| Tooth Extraction | $37.29 | 299 | 114 |
| Dental Filling | $58.43 | 286 | 161 |
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