Based on public Medicaid payment data.
John Nathan Jacobsen
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
235 Sw 25Th St.
Oklahoma City, OK 73109
Phone
4052954967
NPI
1225559404
Procedures
3
Total Claims
7.9K
Patients Served
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 | $28.88 | 6,087 | 5,994 |
| Dental Filling | $85.27 | 1,710 | 931 |
| Tooth Extraction | $120.59 | 96 | 26 |
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