Based on public Medicaid payment data.
Jerry W. Dickson
Medicaid Provider in Chandler, OK
Type
Individual Provider
Address
820 Allison Ave
Chandler, OK 748343834
Phone
4052581042
NPI
1679569537
Procedures
2
Total Claims
704
Patients Served
692
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 | $27.41 | 678 | 678 |
| Tooth Extraction | $66.76 | 26 | 14 |
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