Based on public Medicaid payment data.
Timothee Gansore
Medicaid Provider in Jacksboro, TN
Type
Individual Provider
Address
1138 Main St Unit C
Jacksboro, TN 377572582
Phone
4232019917
NPI
1154842516
Procedures
2
Total Claims
8.6K
Patients Served
2.6K
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 | $69.94 | 6,540 | 965 |
| Dental Cleaning & Exam | $26.38 | 2,012 | 1,662 |
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