Based on public Medicaid payment data.
Jetoria Irving
Medicaid Provider in Kennesaw, GA
Type
Individual Provider
Address
1200 Ernest W Barrett Pkwy Nw Ste 200
Kennesaw, GA 301444513
Phone
6788058057
NPI
1437636321
Procedures
3
Total Claims
3K
Patients Served
2.9K
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 | $26.61 | 2,665 | 2,649 |
| Dental Filling | $82.54 | 227 | 188 |
| Tooth Extraction | $75.22 | 87 | 63 |
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