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Based on public Medicaid payment data.

Olivia Minjia Pan

Medicaid Provider in Washington, DC

Type

Individual Provider

Address

6428 Georgia Ave Nw

Washington, DC 200122910

Phone

2027230303

NPI

1205406329

Procedures

3

Total Claims

3.9K

Patients Served

3.6K

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 $46.71 3,089 3,083
Dental Filling $119.52 784 494
Tooth Extraction $87.04 17 12

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