Based on public Medicaid payment data.
Jesse Johnson
Medicaid Provider in Rio Rancho, NM
Type
Individual Provider
Address
1137 Commercial Dr Se
Rio Rancho, NM 871244658
Phone
5058969399
NPI
1932624178
Procedures
3
Total Claims
13.9K
Patients Served
13.3K
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 | $30.32 | 11,791 | 11,770 |
| Dental Filling | $63.43 | 1,920 | 1,434 |
| Tooth Extraction | $64.55 | 155 | 95 |
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