Based on public Medicaid payment data.
Brent Jacob Gardner
Medicaid Provider in Winslow, AZ
Type
Individual Provider
Address
321 W Second St
Winslow, AZ 860473406
Phone
6142543384
NPI
1720497779
Procedures
3
Total Claims
4.6K
Patients Served
4.2K
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 | $19.50 | 4,256 | 4,071 |
| Dental Filling | $37.18 | 340 | 133 |
| Tooth Extraction | $45.17 | 29 | 15 |
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