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Based on public Medicaid payment data.

Delissa Leann Jantz

Medicaid Provider in Alva, OK

Type

Individual Provider

Address

604 Choctaw St

Alva, OK 737171626

Phone

5803271112

NPI

1346861796

Procedures

2

Total Claims

828

Patients Served

533

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
Substance Abuse Treatment $38.36 536 340
Case Management Services $21.14 292 193

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