Based on public Medicaid payment data.
Mary Dwayna Temple Goins
Medicaid Provider in Ardmore, OK
Type
Individual Provider
Address
1220 Merrick Dr
Ardmore, OK 734011824
Phone
5802236720
NPI
1952926941
Procedures
2
Total Claims
5.3K
Patients Served
4.7K
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 | $28.05 | 3,930 | 3,896 |
| Dental Filling | $101.77 | 1,358 | 787 |
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