Based on public Medicaid payment data.
Michael Derrick Moody
Medicaid Provider in Bartlesville, OK
Type
Individual Provider
Address
215 Se Howard Ave
Bartlesville, OK 740062204
Phone
9183339155
NPI
1033204094
Procedures
2
Total Claims
2.5K
Patients Served
1.9K
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 | $172.21 | 1,388 | 742 |
| Dental Cleaning & Exam | $33.14 | 1,154 | 1,144 |
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