Based on public Medicaid payment data.
Henry Lee Jackson
Medicaid Provider in Winston Salem, NC
Type
Individual Provider
Address
334 E Hanes Mill Rd
Winston Salem, NC 271059135
Phone
3364502077
NPI
1699213959
Procedures
2
Total Claims
6.8K
Patients Served
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 | $21.42 | 5,075 | 3,345 |
| Tooth Extraction | $70.16 | 1,690 | 619 |
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