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Based on public Medicaid payment data.

Louis Jackson

Medicaid Provider in Albuquerque, NM

Type

Individual Provider

Address

8201 Golf Course Rd Nw

Albuquerque, NM 871205842

Phone

5058929010

NPI

1285040337

Procedures

3

Total Claims

11.2K

Patients Served

10.6K

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 $29.06 9,196 9,177
Dental Filling $89.87 1,654 1,143
Tooth Extraction $87.30 351 235

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