Based on public Medicaid payment data.
Evan Michael Busby
Medicaid Provider in Jacksonville, FL
Type
Individual Provider
Address
655 W 8Th St
Jacksonville, FL 322096511
Phone
7134441612
NPI
1588023816
Procedures
4
Total Claims
2.9K
Patients Served
1.5K
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 |
|---|---|---|---|
| Tooth Extraction | $176.95 | 1,750 | 561 |
| Dental Cleaning & Exam | $14.64 | 798 | 795 |
| Dental Filling | $105.69 | 211 | 106 |
| Root Canal | $0.00 | 121 | 44 |
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