Based on public Medicaid payment data.
Jesus Vivar
Medicaid Provider in Wheaton, MD
Type
Individual Provider
Address
11228 Georgia Ave Ste 12
Wheaton, MD 209024694
Phone
3019290244
NPI
1003564626
Procedures
2
Total Claims
228
Patients Served
212
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 Filling | $0.00 | 116 | 100 |
| Dental Cleaning & Exam | $0.00 | 112 | 112 |
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