Based on public Medicaid payment data.
Ryan Jelicich
Medicaid Provider in Washington, DC
Type
Individual Provider
Address
2009 8Th St Nw Apt 303
Washington, DC 200015751
Phone
9166059147
NPI
1750011144
Procedures
4
Total Claims
8.8K
Patients Served
4.4K
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 |
|---|---|---|---|
| Tooth Extraction | $18.15 | 4,728 | 1,043 |
| Dental Cleaning & Exam | $7.83 | 3,221 | 2,868 |
| Dental Filling | $17.71 | 752 | 418 |
| Root Canal | $20.32 | 139 | 82 |
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