Based on public Medicaid payment data.
Jarred Kristian Donald
Medicaid Provider in Cisco, TX
Type
Individual Provider
Address
700 Conrad Hilton Blvd
Cisco, TX 764373140
Phone
2544422000
NPI
1912018185
Procedures
2
Total Claims
1.1K
Patients Served
871
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 | $36.23 | 753 | 741 |
| Dental Filling | $77.75 | 320 | 130 |
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