Based on public Medicaid payment data.
Josue Gutierrez
Medicaid Provider in Cleveland, OK
Type
Individual Provider
Address
103 S Broadway St
Cleveland, OK 740204614
Phone
9183580002
NPI
1982451332
Procedures
3
Total Claims
213
Patients Served
183
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 | $30.71 | 139 | 139 |
| Dental Filling | $110.70 | 52 | 29 |
| Tooth Extraction | $132.42 | 22 | 15 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error