Based on public Medicaid payment data.
Eda Patricia Demetrius
Medicaid Provider in Springfield, VA
Type
Individual Provider
Address
6573 Forest Dew Ct
Springfield, VA 221522184
Phone
5712170552
NPI
1164402384
Procedures
2
Total Claims
3.1K
Patients Served
2.6K
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 | $38.39 | 1,898 | 1,849 |
| Dental Filling | $103.85 | 1,202 | 756 |
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