Based on public Medicaid payment data.
Pamela Jackson
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
3721 Jennings Station Rd
Saint Louis, MO 631213505
Phone
3143822000
NPI
1225147317
Procedures
3
Total Claims
7K
Patients Served
5.2K
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 | $25.18 | 3,811 | 3,750 |
| Dental Filling | $63.45 | 3,179 | 1,382 |
| Tooth Extraction | $51.97 | 38 | 27 |
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