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Based on public Medicaid payment data.

Samantha Jette

Medicaid Provider in Bridgeport, WV

Type

Individual Provider

Address

103 Steele St

Bridgeport, WV 263301068

Phone

3042821640

NPI

1700254034

Procedures

1

Total Claims

85

Patients Served

84

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 $35.87 85 84

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