Based on public Medicaid payment data.
Ann Marie Dolan Leal
Medicaid Provider in Springfield, VA
Type
Individual Provider
Address
6699 Springfield Center Dr
Springfield, VA 221501913
Phone
7038226655
NPI
1124287305
Procedures
2
Total Claims
917
Patients Served
904
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 | $22.82 | 897 | 892 |
| Dental Filling | $89.18 | 20 | 12 |
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