Based on public Medicaid payment data.
Jordan Campbell
Medicaid Provider in Prescott, AZ
Type
Individual Provider
Address
3185 Clearwater Dr Ste B
Prescott, AZ 863057119
Phone
9287752545
NPI
1194257022
Procedures
2
Total Claims
398
Patients Served
369
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 | $4.20 | 319 | 319 |
| Tooth Extraction | $16.85 | 79 | 50 |
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