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Based on public Medicaid payment data.

Beverly Ann Jimenez

Medicaid Provider in Annapolis, MD

Type

Individual Provider

Address

621 Ridgely Ave

Annapolis, MD 214011081

Phone

4102242660

NPI

1104959337

Procedures

3

Total Claims

51.3K

Patients Served

47.1K

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 $39.36 41,778 41,010
Dental Filling $118.31 8,969 5,687
Tooth Extraction $113.45 543 392

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