Based on public Medicaid payment data.
Jack Shea Smith
Medicaid Provider in Durham, NC
Type
Individual Provider
Address
3500 N Duke St
Durham, NC 277041707
Phone
9844391685
NPI
1295468700
Procedures
3
Total Claims
1.3K
Patients Served
959
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 | $27.18 | 1,080 | 875 |
| Tooth Extraction | $46.76 | 153 | 57 |
| Dental Filling | $65.79 | 82 | 27 |
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