Based on public Medicaid payment data.
Gary C Davidson
Medicaid Provider in Coweta, OK
Type
Individual Provider
Address
122 E Chestnut St
Coweta, OK 74429
Phone
9184863266
NPI
1952472839
Procedures
3
Total Claims
8.8K
Patients Served
7.6K
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 | $27.64 | 6,245 | 6,211 |
| Dental Filling | $99.36 | 2,311 | 1,263 |
| Tooth Extraction | $72.13 | 234 | 77 |
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