Based on public Medicaid payment data.
Jerin Jacob
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
8373 Culebra Rd # 102A
San Antonio, TX 782511663
Phone
2108009691
NPI
1922551423
Procedures
3
Total Claims
67.8K
Patients Served
61.8K
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 | $45.73 | 54,450 | 54,335 |
| Dental Filling | $81.36 | 12,779 | 6,906 |
| Tooth Extraction | $34.63 | 578 | 530 |
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