Based on public Medicaid payment data.
Ron L Graves
Medicaid Provider in Ardmore, OK
Type
Individual Provider
Address
1119 Walnut Dr
Ardmore, OK 734012360
Phone
5802261727
NPI
1184615890
Procedures
1
Total Claims
40
Patients Served
12
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 |
|---|---|---|---|
| Tooth Extraction | $182.66 | 40 | 12 |
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