Based on public Medicaid payment data.
Jack Francis Coburn
Medicaid Provider in Chalmette, LA
Type
Individual Provider
Address
9020 W Judge Perez Dr
Chalmette, LA 700434500
Phone
5042774401
NPI
1265065049
Procedures
2
Total Claims
158
Patients Served
120
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 | $36.09 | 90 | 90 |
| Tooth Extraction | $63.40 | 68 | 30 |
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