Based on public Medicaid payment data.
Maryam Jackson
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
2701 W 1St St
Santa Ana, CA 927033443
Phone
7149732022
NPI
1528247061
Procedures
2
Total Claims
565
Patients Served
525
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 | $29.80 | 509 | 500 |
| Dental Filling | $61.20 | 56 | 25 |
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