Based on public Medicaid payment data.
Ratrice Jackson
Medicaid Provider in Irving, TX
Type
Individual Provider
Address
1932 N Story Rd
Irving, TX 750611936
Phone
4692995437
NPI
1114426830
Procedures
3
Total Claims
14K
Patients Served
13.4K
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 | $50.54 | 12,927 | 12,843 |
| Tooth Extraction | $56.21 | 738 | 364 |
| Dental Filling | $76.56 | 291 | 166 |
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