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Based on public Medicaid payment data.

Keven Peter Jackson

Medicaid Provider in Cambria Heights, NY

Type

Individual Provider

Address

22516 Linden Blvd

Cambria Heights, NY 11411

Phone

7189780226

NPI

1932294006

Procedures

1

Total Claims

145

Patients Served

145

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 $23.88 145 145

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