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Based on public Medicaid payment data.

Jack Owen Smalley

Medicaid Provider in Farmington, NM

Type

Individual Provider

Address

2650 E Pinon Frontage Rd Bldg 300

Farmington, NM 874025084

Phone

5053273331

NPI

1487611331

Procedures

1

Total Claims

959

Patients Served

952

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 $35.72 959 952

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