Based on public Medicaid payment data.
Krystal Mattox
Medicaid Provider in Richmond, VA
Type
Individual Provider
Address
180 E Belt Blvd
Richmond, VA 232241204
Phone
8047832505
NPI
1629555883
Procedures
3
Total Claims
1.1K
Patients Served
999
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 | $33.54 | 913 | 900 |
| Tooth Extraction | $75.24 | 146 | 75 |
| Dental Filling | $105.97 | 35 | 24 |
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