Based on public Medicaid payment data.
Marvin Blane Jackson
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
4550 E Bell Rd. St. 102
Phoenix, AZ 850329306
Phone
6024851588
NPI
1265624332
Procedures
4
Total Claims
18.8K
Patients Served
13.6K
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 | $30.16 | 11,589 | 10,784 |
| Dental Filling | $14.37 | 6,118 | 2,417 |
| Tooth Extraction | $14.73 | 1,060 | 390 |
| Root Canal | $21.00 | 45 | 24 |
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