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Based on public Medicaid payment data.

Lacy S Davis

Medicaid Provider in Edmond, OK

Type

Individual Provider

Address

2017 W I 35 Frontage Rd

Edmond, OK 730138504

Phone

4057573365

NPI

1265793947

Procedures

3

Total Claims

980

Patients Served

954

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
Office Visit $59.30 524 498
Vaccines & Immunizations $35.92 358 358
Circumcision $88.78 98 98

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