Based on public Medicaid payment data.
Allison Lonneman
Medicaid Provider in Tysons, VA
Type
Individual Provider
Address
1500 Cornerside Blvd Ste 310
Tysons, VA 221822438
Phone
7037901320
NPI
1376042242
Procedures
3
Total Claims
8.1K
Patients Served
7.7K
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 | $16.76 | 7,392 | 7,293 |
| Dental Filling | $74.95 | 613 | 387 |
| Tooth Extraction | $54.42 | 59 | 38 |
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