Based on public Medicaid payment data.
Benny L Potter
Medicaid Provider in Del City, OK
Type
Individual Provider
Address
4341 Se 15Th St
Del City, OK 73115
Phone
4056703800
NPI
1881072064
Procedures
4
Total Claims
55.6K
Patients Served
50.1K
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 | $28.88 | 43,533 | 42,813 |
| Dental Filling | $100.33 | 8,820 | 5,368 |
| Tooth Extraction | $79.30 | 3,225 | 1,870 |
| Root Canal | $90.26 | 30 | 25 |
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