Based on public Medicaid payment data.
Jacob Jennings
Medicaid Provider in Gallup, NM
Type
Individual Provider
Address
1601 S Second St
Gallup, NM 873015816
Phone
5057224422
NPI
1346644671
Procedures
3
Total Claims
1.7K
Patients Served
1.5K
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 | $31.60 | 1,227 | 1,216 |
| Dental Filling | $64.71 | 338 | 227 |
| Tooth Extraction | $90.57 | 148 | 55 |
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