Based on public Medicaid payment data.
Jack Donald Summerlin
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
3351 N Meridian St
Indianapolis, IN 462084675
Phone
3179265200
NPI
1902053200
Procedures
1
Total Claims
39
Patients Served
39
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 | $38.69 | 39 | 39 |
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