Based on public Medicaid payment data.
Mac Roy Jackson
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
7710 W Lower Buckeye Rd
Phoenix, AZ 850433439
Phone
6233879101
NPI
1063102846
Procedures
2
Total Claims
5.4K
Patients Served
4.8K
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 | $27.04 | 4,203 | 4,179 |
| Dental Filling | $43.80 | 1,211 | 627 |
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