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Based on public Medicaid payment data.

Jon Douglas Lesan

Medicaid Provider in Jacksonville, NC

Type

Individual Provider

Address

200 Preston Rd

Jacksonville, NC 28540

Phone

9103471211

NPI

1144398348

Procedures

2

Total Claims

4.1K

Patients Served

3.9K

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 $27.86 4,000 3,845
Dental Filling $99.79 110 54

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