Based on public Medicaid payment data.
Mackenson Montas
Medicaid Provider in Washington, DC
Type
Individual Provider
Address
2041 Georgia Ave Nw
Washington, DC 200600002
Phone
5167541168
NPI
1023638491
Procedures
5
Total Claims
8.3K
Patients Served
7.1K
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 | $40.16 | 6,451 | 6,074 |
| Dental Filling | $71.09 | 1,195 | 734 |
| Tooth Extraction | $70.24 | 514 | 240 |
| Dental Crown | $613.65 | 158 | 61 |
| Root Canal | $528.75 | 16 | 12 |
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