Based on public Medicaid payment data.
Jessica Lucovich
Medicaid Provider in Horn Lake, MS
Type
Individual Provider
Address
2154 Goodman Rd W
Horn Lake, MS 386371303
Phone
6623939200
NPI
1275973067
Procedures
4
Total Claims
30.5K
Patients Served
24K
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 | $26.12 | 25,242 | 20,985 |
| Dental Filling | $96.18 | 3,144 | 1,858 |
| Tooth Extraction | $68.49 | 1,993 | 1,034 |
| Root Canal | $90.90 | 134 | 95 |
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