Based on public Medicaid payment data.
Jonathan Patrick Bacon
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
2700 Quarry Lake Dr Ste 190
Baltimore, MD 212093743
Phone
4104844401
NPI
1811336142
Procedures
2
Total Claims
398
Patients Served
373
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 | $41.85 | 334 | 334 |
| Tooth Extraction | $110.32 | 64 | 39 |
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