Based on public Medicaid payment data.
Douglas Scott Kooken
Medicaid Provider in Broken Arrow, OK
Type
Individual Provider
Address
1950 W Kenosha St
Broken Arrow, OK 740128944
Phone
9186386767
NPI
1275190639
Procedures
4
Total Claims
19.9K
Patients Served
15K
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 | $29.76 | 12,230 | 11,940 |
| Tooth Extraction | $121.46 | 5,006 | 1,373 |
| Dental Filling | $125.43 | 2,662 | 1,717 |
| Root Canal | $121.95 | 20 | 12 |
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