Based on public Medicaid payment data.
Jacob Oliver Smith
Medicaid Provider in Rogers, AR
Type
Individual Provider
Address
4307 S Pleasant Crossing Blvd Ste 103
Rogers, AR 727581347
Phone
4795539215
NPI
1063856912
Procedures
2
Total Claims
176
Patients Served
118
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 | $33.27 | 109 | 105 |
| Tooth Extraction | $85.50 | 67 | 13 |
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