Based on public Medicaid payment data.
Jackie Rae Nord
Medicaid Provider in Grand Forks, ND
Type
Individual Provider
Address
212 S 4Th St
Grand Forks, ND 582014777
Phone
7017572100
NPI
1043467152
Procedures
2
Total Claims
820
Patients Served
805
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 | $121.11 | 775 | 765 |
| Dental Filling | $345.37 | 45 | 40 |
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