Based on public Medicaid payment data.
Brent Kutlesa
Medicaid Provider in Edmond, OK
Type
Individual Provider
Address
100 W 15Th St
Edmond, OK 730133603
Phone
4053302123
NPI
1871889659
Procedures
3
Total Claims
3K
Patients Served
2.8K
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 | $26.15 | 2,473 | 2,473 |
| Dental Filling | $96.15 | 450 | 276 |
| Tooth Extraction | $66.82 | 32 | 13 |
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