Based on public Medicaid payment data.
Jerry Wayne Cook
Medicaid Provider in West Memphis, AR
Type
Individual Provider
Address
715 Calvin Avery Drive
West Memphis, AR 72301
Phone
8707353601
NPI
1306935788
Procedures
2
Total Claims
959
Patients Served
771
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 | $28.98 | 928 | 759 |
| Tooth Extraction | $67.54 | 31 | 12 |
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