Based on public Medicaid payment data.
Mauricio Colomo
Medicaid Provider in Vienna, VA
Type
Individual Provider
Address
8304-C Old Corthouse Rd,
Vienna, VA 22182
Phone
7033561200
NPI
1215306915
Procedures
2
Total Claims
186
Patients Served
162
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 |
|---|---|---|---|
| Root Canal | $471.53 | 124 | 106 |
| Dental Cleaning & Exam | $0.00 | 62 | 56 |
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