Based on public Medicaid payment data.
Kourosh Seifolahi Bazarjani
Medicaid Provider in Reston, VA
Type
Individual Provider
Address
1801 Robert Fulton Dr Ste 100
Reston, VA 201914347
Phone
7034953333
NPI
1093313181
Procedures
3
Total Claims
436
Patients Served
340
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 | $29.11 | 285 | 285 |
| Dental Filling | $86.26 | 122 | 43 |
| Dental Crown | $0.00 | 29 | 12 |
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