Based on public Medicaid payment data.
Larry Tyler Jackson
Medicaid Provider in Peoria, AZ
Type
Individual Provider
Address
14100 N 83Rd Ave
Peoria, AZ 853815658
Phone
6239359873
NPI
1396186276
Procedures
3
Total Claims
18.3K
Patients Served
17.5K
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 | $6.86 | 17,288 | 17,027 |
| Dental Filling | $21.76 | 970 | 422 |
| Tooth Extraction | $0.00 | 52 | 28 |
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