Based on public Medicaid payment data.
Caleb Roland Smith
Medicaid Provider in Antlers, OK
Type
Individual Provider
Address
107 Ne F St
Antlers, OK 745232603
Phone
5802985581
NPI
1699414003
Procedures
3
Total Claims
9.2K
Patients Served
8.2K
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 | $28.96 | 7,182 | 6,987 |
| Dental Filling | $93.82 | 1,975 | 1,157 |
| Tooth Extraction | $57.74 | 22 | 12 |
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