Based on public Medicaid payment data.
Jolene Marie Dague
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
1905 N. Main St
Davenport, IA 52803
Phone
5633232571
NPI
1083878896
Procedures
3
Total Claims
11.3K
Patients Served
10.1K
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 | $24.05 | 8,891 | 8,607 |
| Dental Filling | $53.45 | 2,245 | 1,407 |
| Dental Crown | $228.29 | 201 | 107 |
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