Based on public Medicaid payment data.
Michael Cevallos
Medicaid Provider in Washington, DC
Type
Individual Provider
Address
100 Gallatin Street Ne
Washington, DC 200112027
Phone
2024838196
NPI
1154062990
Procedures
1
Total Claims
13
Patients Served
13
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 | $32.23 | 13 | 13 |
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