Based on public Medicaid payment data.
Jacob H. Pham
Medicaid Provider in Roanoke, VA
Type
Individual Provider
Address
6212 Peters Creek Rd
Roanoke, VA 240194026
Phone
5405630519
NPI
1518958248
Procedures
3
Total Claims
2.3K
Patients Served
1.8K
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 | $9.79 | 1,622 | 1,477 |
| Dental Filling | $12.40 | 649 | 302 |
| Tooth Extraction | $0.00 | 21 | 13 |
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