Based on public Medicaid payment data.
Demetra Corrine Jones
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
4432 Malcolm X Blvd
Dallas, TX 752154349
Phone
2145654330
NPI
1396844221
Procedures
2
Total Claims
629
Patients Served
566
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 | $28.56 | 600 | 554 |
| Tooth Extraction | $64.67 | 29 | 12 |
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