Based on public Medicaid payment data.
Tessie Jacob
Medicaid Provider in Southington, CT
Type
Individual Provider
Address
1131 West Street
Southington, CT 064896006
Phone
8604146897
NPI
1477937183
Procedures
3
Total Claims
5.1K
Patients Served
4.1K
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 | $26.13 | 4,221 | 3,572 |
| Dental Filling | $65.22 | 855 | 529 |
| Tooth Extraction | $66.78 | 28 | 15 |
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