Based on public Medicaid payment data.
Dominicque Blanche Gray
Medicaid Provider in Washington, DC
Type
Individual Provider
Address
3946 Minnesota Ave Ne
Washington, DC 200192661
Phone
2023971033
NPI
1003103151
Procedures
2
Total Claims
14.9K
Patients Served
14.4K
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 | $43.98 | 13,822 | 13,539 |
| Dental Filling | $123.84 | 1,127 | 858 |
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