Based on public Medicaid payment data.
Maria Gema Island
Medicaid Provider in Vienna, VA
Type
Individual Provider
Address
1500 Cornerside Blvd
Vienna, VA 221822433
Phone
7037901329
NPI
1386724409
Procedures
1
Total Claims
905
Patients Served
902
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 | $23.33 | 905 | 902 |
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