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Based on public Medicaid payment data.

Harry J. Jackson

Medicaid Provider in Honolulu, HI

Type

Individual Provider

Address

Tripler Army Medical Center

Honolulu, HI 96859

Phone

8084332444

NPI

1376505578

Procedures

2

Total Claims

2K

Patients Served

1.3K

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
Tooth Extraction $200.67 1,251 586
Dental Cleaning & Exam $35.11 735 732

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