Based on public Medicaid payment data.
Jordan Gaddis
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
591 Watt Ave Ste 100
Sacramento, CA 958645027
Phone
9164815057
NPI
1902329873
Procedures
5
Total Claims
6K
Patients Served
3.7K
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 Filling | $72.51 | 3,164 | 1,248 |
| Dental Cleaning & Exam | $73.84 | 2,082 | 2,082 |
| Dental Crown | $476.00 | 389 | 256 |
| Tooth Extraction | $118.69 | 389 | 143 |
| Root Canal | $365.40 | 17 | 14 |
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