Based on public Medicaid payment data.
Jesse R Whitely
Medicaid Provider in Auburn, CA
Type
Individual Provider
Address
3113 Professional Dr Ste 1
Auburn, CA 956032459
Phone
5308856559
NPI
1720391162
Procedures
3
Total Claims
1.1K
Patients Served
987
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 | $39.26 | 859 | 834 |
| Dental Filling | $64.45 | 170 | 124 |
| Tooth Extraction | $75.78 | 64 | 29 |
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