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Based on public Medicaid payment data.

Latresa Jackson

Medicaid Provider in Hermitage, TN

Type

Individual Provider

Address

3901 Central Pike Ste 500

Hermitage, TN 370763431

Phone

1593373006

NPI

1720485121

Procedures

3

Total Claims

972

Patients Served

773

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 $35.44 544 525
Dental Filling $50.54 365 234
Tooth Extraction $70.93 63 14

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