Based on public Medicaid payment data.
Sebastian M Bouroncle
Medicaid Provider in Stafford, VA
Type
Individual Provider
Address
385 Garrisonville Rd
Stafford, VA 225541545
Phone
5406577645
NPI
1932245511
Procedures
5
Total Claims
23.3K
Patients Served
19.1K
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 | $21.36 | 14,786 | 14,099 |
| Dental Filling | $68.21 | 7,491 | 4,236 |
| Dental Crown | $253.61 | 837 | 593 |
| Tooth Extraction | $37.25 | 145 | 67 |
| Root Canal | $460.20 | 75 | 62 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error