Based on public Medicaid payment data.
Brandi Rochelle Jackson
Medicaid Provider in Davidson, NC
Type
Individual Provider
Address
11223 Davinci Dr
Davidson, NC 280367799
Phone
7048956445
NPI
1912186321
Procedures
3
Total Claims
24.5K
Patients Served
20.6K
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 | $28.21 | 18,884 | 17,792 |
| Dental Filling | $92.86 | 4,221 | 2,228 |
| Tooth Extraction | $53.80 | 1,402 | 532 |
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