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Based on public Medicaid payment data.

Jackson Petty

Medicaid Provider in Tullahoma, TN

Type

Individual Provider

Address

2118 N Jackson St

Tullahoma, TN 373882208

Phone

9314549499

NPI

1417565193

Procedures

2

Total Claims

1.7K

Patients Served

1.3K

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 $0.86 1,103 1,034
Tooth Extraction $0.73 565 266

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