Based on public Medicaid payment data.
Sidney Jack Fowler
Medicaid Provider in Nacogdoches, TX
Type
Individual Provider
Address
1023 N Mound St Ste D
Nacogdoches, TX 759614453
Phone
9365649401
NPI
1982779195
Procedures
4
Total Claims
35.5K
Patients Served
31K
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 | $41.55 | 27,673 | 26,948 |
| Dental Filling | $78.38 | 7,021 | 3,500 |
| Tooth Extraction | $41.31 | 675 | 462 |
| Root Canal | $83.03 | 92 | 54 |
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