Based on public Medicaid payment data.
Josiana Goodman
Medicaid Provider in Cleveland, OK
Type
Individual Provider
Address
103 S Broadway St
Cleveland, OK 740204614
Phone
9183500002
NPI
1457960239
Procedures
2
Total Claims
710
Patients Served
700
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 | $29.55 | 687 | 687 |
| Dental Filling | $85.56 | 23 | 13 |
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