Based on public Medicaid payment data.
Jack Windsor
Medicaid Provider in Terre Haute, IN
Type
Individual Provider
Address
3430 S 4Th St
Terre Haute, IN 478024168
Phone
2175405100
NPI
1760935001
Procedures
2
Total Claims
1.1K
Patients Served
907
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 | $40.53 | 825 | 775 |
| Dental Filling | $90.49 | 263 | 132 |
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