Based on public Medicaid payment data.
Adrienne Maxine Jackson-Payne
Medicaid Provider in Memphis, TN
Type
Individual Provider
Address
3574 Hickory Hill Rd
Memphis, TN 381153827
Phone
9013659054
NPI
1992884845
Procedures
4
Total Claims
137.8K
Patients Served
123.7K
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 | $31.19 | 116,823 | 116,158 |
| Dental Filling | $66.86 | 14,048 | 4,910 |
| Root Canal | $86.64 | 5,592 | 1,696 |
| Tooth Extraction | $60.31 | 1,333 | 907 |
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