Based on public Medicaid payment data.
Nicole Myers Brock
Medicaid Provider in Jasper, TN
Type
Individual Provider
Address
507 Betsy Pack Dr
Jasper, TN 373473321
Phone
4239425508
NPI
1124317037
Procedures
3
Total Claims
3.4K
Patients Served
3.3K
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 | $28.55 | 3,106 | 3,060 |
| Dental Filling | $65.64 | 244 | 192 |
| Tooth Extraction | $55.91 | 53 | 44 |
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