Based on public Medicaid payment data.
Jasmine Renee Elmore
Medicaid Provider in Wilson, NC
Type
Individual Provider
Address
2401 Wooten Blvd Sw
Wilson, NC 27893
Phone
2522914300
NPI
1932546157
Procedures
5
Total Claims
76K
Patients Served
66.4K
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 | $30.61 | 57,726 | 55,392 |
| Dental Filling | $97.22 | 15,202 | 9,293 |
| Tooth Extraction | $61.77 | 2,883 | 1,566 |
| Prescription Medications | $1.52 | 122 | 64 |
| Root Canal | $78.54 | 112 | 56 |
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