Based on public Medicaid payment data.
Matthew James Lewis
Medicaid Provider in Broken Arrow, OK
Type
Individual Provider
Address
3451 W Kenosha St
Broken Arrow, OK 740128949
Phone
9183070909
NPI
1447659925
Procedures
4
Total Claims
7.7K
Patients Served
6.2K
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 | $33.96 | 5,411 | 5,084 |
| Dental Filling | $127.45 | 1,811 | 941 |
| Tooth Extraction | $86.26 | 394 | 124 |
| Dental Crown | $658.27 | 82 | 44 |
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