Based on public Medicaid payment data.
Jason Wallace
Medicaid Provider in Edmond, OK
Type
Individual Provider
Address
1400 W Covell Rd
Edmond, OK 730033504
Phone
4053486161
NPI
1346698842
Procedures
3
Total Claims
5.1K
Patients Served
4.2K
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 | $30.95 | 3,942 | 3,771 |
| Tooth Extraction | $116.77 | 775 | 191 |
| Dental Filling | $104.08 | 368 | 224 |
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