Based on public Medicaid payment data.
Susan Cope Fortenberry
Medicaid Provider in Jackson, MS
Type
Individual Provider
Address
5315 Highway 18 W
Jackson, MS 392099421
Phone
6019220066
NPI
1083936132
Procedures
4
Total Claims
37.9K
Patients Served
28K
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 | $29.51 | 24,652 | 22,086 |
| Dental Filling | $83.34 | 9,787 | 4,418 |
| Tooth Extraction | $73.33 | 3,167 | 1,374 |
| Root Canal | $89.54 | 250 | 148 |
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