Based on public Medicaid payment data.
Jila Tahmasebi-Boldaji
Medicaid Provider in Vienna, VA
Type
Individual Provider
Address
8212 Old Courthouse Rd
Vienna, VA 221823821
Phone
2407313768
NPI
1396990644
Procedures
4
Total Claims
6.6K
Patients Served
5.4K
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 | $26.81 | 3,569 | 3,485 |
| Dental Filling | $86.18 | 2,950 | 1,886 |
| Dental Crown | $360.66 | 61 | 51 |
| Root Canal | $388.00 | 28 | 27 |
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