Based on public Medicaid payment data.
Jaterra Dominique Ross
Medicaid Provider in Maryland Heights, MO
Type
Individual Provider
Address
12300 Dorsett Rd
Maryland Heights, MO 630433906
Phone
3142544000
NPI
1053972646
Procedures
1
Total Claims
145
Patients Served
126
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 | $16.85 | 145 | 126 |
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