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Based on public Medicaid payment data.

Richard Todd Boone

Medicaid Provider in Ada, OK

Type

Individual Provider

Address

803 N Monte Vista St

Ada, OK 748207711

Phone

5803323010

NPI

1730172263

Procedures

3

Total Claims

1.4K

Patients Served

875

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 $29.74 666 665
Tooth Extraction $185.20 656 186
Office Visit $676.22 28 24

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