Based on public Medicaid payment data.
Courtney Moore Jackson
Medicaid Provider in Milwaukee, WI
Type
Individual Provider
Address
10401 W Lincoln Ave Ste 210
Milwaukee, WI 532271255
Phone
4145461900
NPI
1598149577
Procedures
2
Total Claims
1.6K
Patients Served
1.2K
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 | $39.68 | 1,456 | 1,093 |
| Dental Filling | $106.34 | 172 | 106 |
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