Based on public Medicaid payment data.
Jacquetta Monae Davis
Medicaid Provider in Deer Park, TX
Type
Individual Provider
Address
9001 Spencer Hwy Suite J
Deer Park, TX 77536
Phone
2814794867
NPI
1942588389
Procedures
1
Total Claims
636
Patients Served
615
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 | $30.15 | 636 | 615 |
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