Based on public Medicaid payment data.
Daniel Bobby Story
Medicaid Provider in Jackson, MS
Type
Individual Provider
Address
5800 Ridgewood Rd
Jackson, MS 392112667
Phone
6019569850
NPI
1568577039
Procedures
3
Total Claims
10.1K
Patients Served
7.5K
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 | $27.73 | 8,569 | 6,915 |
| Dental Filling | $67.61 | 1,190 | 483 |
| Tooth Extraction | $56.02 | 322 | 145 |
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