Based on public Medicaid payment data.
Brandon Joshua Jackson
Medicaid Provider in Staten Island, NY
Type
Individual Provider
Address
70 Virginia Ave
Staten Island, NY 103051748
Phone
7182268851
NPI
1861753949
Procedures
4
Total Claims
32.6K
Patients Served
23.1K
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 | $33.74 | 22,686 | 17,071 |
| Dental Filling | $74.35 | 9,119 | 5,529 |
| Tooth Extraction | $73.05 | 423 | 268 |
| Root Canal | $66.63 | 347 | 186 |
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