Based on public Medicaid payment data.
Sara Jackson
Medicaid Provider in Saint John, IN
Type
Individual Provider
Address
8217 Wicker Ave
Saint John, IN 463738878
Phone
2193229920
NPI
1710546106
Procedures
2
Total Claims
275
Patients Served
258
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 | $43.50 | 249 | 242 |
| Dental Filling | $104.53 | 26 | 16 |
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