Based on public Medicaid payment data.
Jon Windom
Medicaid Provider in St Augustine, FL
Type
Individual Provider
Address
1081 A1A Beach Blvd
St Augustine, FL 320806733
Phone
9044713291
NPI
1205043809
Procedures
2
Total Claims
728
Patients Served
573
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 | $9.73 | 693 | 561 |
| Tooth Extraction | $9.90 | 35 | 12 |
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