Based on public Medicaid payment data.
Alicia Renee Jackson
Medicaid Provider in New York, NY
Type
Individual Provider
Address
245 5Th Ave Fl 3
New York, NY 100168728
Phone
9177476574
NPI
1710381256
Procedures
2
Total Claims
1K
Patients Served
1K
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 | $26.47 | 984 | 984 |
| Dental Filling | $61.99 | 62 | 61 |
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