Based on public Medicaid payment data.
Divya R Sankepally
Medicaid Provider in Vienna, VA
Type
Individual Provider
Address
410 Pine St Se Ste 100
Vienna, VA 221804861
Phone
7039381415
NPI
1497033302
Procedures
2
Total Claims
15.6K
Patients Served
14.6K
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 | $26.26 | 12,595 | 12,524 |
| Dental Filling | $84.39 | 3,042 | 2,059 |
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