Based on public Medicaid payment data.
S. Jason Sammons
Medicaid Provider in Jackson, TN
Type
Individual Provider
Address
11 Medical Park Ct
Jackson, TN 383052157
Phone
7316687412
NPI
1295724235
Procedures
2
Total Claims
4K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $22.70 | 2,102 | 1,992 |
| Tooth Extraction | $128.03 | 1,922 | 569 |
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