Based on public Medicaid payment data.
Jack Koszykowski
Medicaid Provider in Cleveland, OK
Type
Individual Provider
Address
101 E Cedar Creek Dr
Cleveland, OK 740209548
Phone
9183583512
NPI
1851130348
Procedures
1
Total Claims
204
Patients Served
204
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 | $30.98 | 204 | 204 |
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