Based on public Medicaid payment data.
Kimberly Moody Wade
Medicaid Provider in Jackson, MS
Type
Individual Provider
Address
3502 W Northside Dr
Jackson, MS 392134454
Phone
6013625321
NPI
1245533975
Procedures
1
Total Claims
57
Patients Served
40
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 | $45.48 | 57 | 40 |
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