Based on public Medicaid payment data.
Jacob William Gowans
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
2424 Oak St
Omaha, NE 681053727
Phone
4029325553
NPI
1801179627
Procedures
4
Total Claims
110.7K
Patients Served
107.4K
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 | $27.19 | 103,297 | 102,702 |
| Dental Filling | $76.65 | 6,049 | 3,731 |
| Tooth Extraction | $69.94 | 1,257 | 823 |
| Root Canal | $70.80 | 143 | 102 |
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