Based on public Medicaid payment data.
Jillian Alexandra Wallen
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
444 So. 44Th Street
Omaha, NE 681985450
Phone
4025597954
NPI
1750555793
Procedures
3
Total Claims
11.7K
Patients Served
10.6K
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 | $22.48 | 9,791 | 9,659 |
| Tooth Extraction | $57.66 | 1,137 | 429 |
| Dental Filling | $60.98 | 795 | 558 |
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