Based on public Medicaid payment data.
Sandra Kim
Medicaid Provider in Woodbridge, VA
Type
Individual Provider
Address
4379 Ridgewood Center Dr Ste 102
Woodbridge, VA 221928323
Phone
7036807950
NPI
1114906575
Procedures
2
Total Claims
2.8K
Patients Served
2.8K
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 | $30.87 | 2,805 | 2,788 |
| Dental Filling | $0.00 | 36 | 30 |
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