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Based on public Medicaid payment data.

Latoya Symone Ambrose

Medicaid Provider in Washington, DC

Type

Individual Provider

Address

4018 Georgia Ave Nw

Washington, DC 200115857

Phone

2028294319

NPI

1073894606

Procedures

4

Total Claims

60.5K

Patients Served

53.3K

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 $41.23 44,931 43,815
Dental Filling $119.24 14,390 8,589
Tooth Extraction $114.96 717 524
Root Canal $61.19 479 331

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