Based on public Medicaid payment data.
Jennifer Nicole Cox
Medicaid Provider in Montgomery, AL
Type
Individual Provider
Address
432 Saint Lukes Dr
Montgomery, AL 361177104
Phone
3342887808
NPI
1841899564
Procedures
4
Total Claims
162
Patients Served
135
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 | $0.00 | 87 | 83 |
| Office Visit | $50.78 | 27 | 25 |
| Tooth Extraction | $0.00 | 24 | 15 |
| Dental Filling | $0.00 | 24 | 12 |
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