Based on public Medicaid payment data.
Jessie Rachelle Jones
Medicaid Provider in Grafton, WI
Type
Individual Provider
Address
1580 Port Washington Rd
Grafton, WI 530249783
Phone
2626184204
NPI
1184296527
Procedures
3
Total Claims
8.6K
Patients Served
7.3K
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 | $26.14 | 7,382 | 6,797 |
| Tooth Extraction | $70.42 | 862 | 362 |
| Root Canal | $110.10 | 358 | 163 |
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