Based on public Medicaid payment data.
Evan Dale Clothier
Medicaid Provider in Broken Arrow, OK
Type
Individual Provider
Address
300 N Aspen Ave
Broken Arrow, OK 740122205
Phone
9182513333
NPI
1043261753
Procedures
4
Total Claims
41K
Patients Served
39.6K
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 | $29.41 | 40,169 | 39,329 |
| Dental Filling | $123.54 | 638 | 221 |
| Tooth Extraction | $66.09 | 127 | 53 |
| Root Canal | $87.11 | 22 | 12 |
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