Based on public Medicaid payment data.
Jesse D Storts, Jr.
Medicaid Provider in Ardmore, OK
Type
Individual Provider
Address
615 N Commerce St
Ardmore, OK 734013942
Phone
5802236720
NPI
1326256843
Procedures
1
Total Claims
75
Patients Served
70
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 | $29.77 | 75 | 70 |
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