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Based on public Medicaid payment data.

Caloss Center For Facial Reconstruction Pllc

Medicaid Provider in Jackson, MS

Type

Organization

Address

1200 N State St Ste 130

Jackson, MS 392022027

Phone

6018413223

NPI

1538822499

Procedures

2

Total Claims

277

Patients Served

183

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 $193.41 160 71
Dental Cleaning & Exam $39.11 117 112

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