Based on public Medicaid payment data.
Tina D Dickerson
Medicaid Provider in Edmond, OK
Type
Individual Provider
Address
2601 Kelley Pointe Pkwy
Edmond, OK 730132995
Phone
4058442601
NPI
1609078559
Procedures
1
Total Claims
65
Patients Served
65
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 |
|---|---|---|---|
| Mammogram | $96.31 | 65 | 65 |
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