Based on public Medicaid payment data.
Dino Jacquard Dieudonne
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
401 E 34Th St
Indianapolis, IN 462053754
Phone
3179261507
NPI
1578124517
Procedures
3
Total Claims
1.1K
Patients Served
1.1K
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 | $33.98 | 1,089 | 1,045 |
| Tooth Extraction | $41.14 | 40 | 12 |
| Dental Filling | $65.09 | 19 | 14 |
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