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Based on public Medicaid payment data.

Jack T Ackerman

Medicaid Provider in Bloomington, CA

Type

Individual Provider

Address

19059 Valley Blvd

Bloomington, CA 923162219

Phone

9098773660

NPI

1922084276

Procedures

1

Total Claims

309

Patients Served

303

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 $43.16 309 303

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