Based on public Medicaid payment data.
Jonathan R Kaczmarski
Medicaid Provider in Gastonia, NC
Type
Individual Provider
Address
890 Summit Crossing Pl
Gastonia, NC 280542192
Phone
7048740345
NPI
1982835831
Procedures
4
Total Claims
42.9K
Patients Served
30.8K
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 | $27.84 | 27,206 | 24,144 |
| Dental Filling | $86.14 | 13,267 | 5,576 |
| Tooth Extraction | $55.30 | 2,389 | 1,068 |
| Root Canal | $27.56 | 80 | 17 |
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