Based on public Medicaid payment data.
Jacktone Ombayo
Medicaid Provider in Amarillo, TX
Type
Individual Provider
Address
2210 Bell St
Amarillo, TX 791064602
Phone
8065535079
NPI
1659684926
Procedures
4
Total Claims
51.4K
Patients Served
47K
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 | $29.20 | 39,856 | 39,640 |
| Dental Filling | $63.30 | 10,994 | 6,964 |
| Tooth Extraction | $41.43 | 487 | 353 |
| Root Canal | $70.04 | 18 | 13 |
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