Based on public Medicaid payment data.
Dolphus Carl Jackson
Medicaid Provider in Spring Hill, TN
Type
Individual Provider
Address
4012 Ohallorn Dr Ste A
Spring Hill, TN 371742214
Phone
6153028471
NPI
1467511642
Procedures
2
Total Claims
553
Patients Served
486
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 | $21.77 | 507 | 470 |
| Tooth Extraction | $216.19 | 46 | 16 |
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