Based on public Medicaid payment data.
Jack Randall Wells
Medicaid Provider in Albuquerque, NM
Type
Individual Provider
Address
9201 Eagle Ranch Rd Nw
Albuquerque, NM 871146440
Phone
5058929010
NPI
1396345963
Procedures
3
Total Claims
23.4K
Patients Served
22K
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 | $31.76 | 19,310 | 19,249 |
| Dental Filling | $92.66 | 3,394 | 2,333 |
| Tooth Extraction | $63.52 | 687 | 460 |
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