Based on public Medicaid payment data.
Sally Ann Jacob
Medicaid Provider in Tampa, FL
Type
Individual Provider
Address
5101 E Busch Blvd Ste 13
Tampa, FL 336175380
Phone
8139881167
NPI
1457883944
Procedures
2
Total Claims
2.2K
Patients Served
1.9K
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 | $31.39 | 1,642 | 1,609 |
| Dental Filling | $58.63 | 563 | 305 |
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