Based on public Medicaid payment data.
Jonathan R Dejong
Medicaid Provider in Fort Dodge, IA
Type
Individual Provider
Address
804 Kenyon Rd Ste 120
Fort Dodge, IA 505015746
Phone
5155768727
NPI
1396952297
Procedures
2
Total Claims
813
Patients Served
534
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 | $21.93 | 460 | 454 |
| Tooth Extraction | $97.96 | 353 | 80 |
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