Based on public Medicaid payment data.
Phllip M. Jensen
Medicaid Provider in Springfield, IL
Type
Individual Provider
Address
2606 Marketplace Dr
Springfield, IL 627021467
Phone
2177538690
NPI
1699892042
Procedures
2
Total Claims
119
Patients Served
75
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 | $59.77 | 104 | 63 |
| Tooth Extraction | $684.00 | 15 | 12 |
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