Based on public Medicaid payment data.
Stefan Shane Hacker
Medicaid Provider in Jay, OK
Type
Individual Provider
Address
1015 W Washbourne St
Jay, OK 743464205
Phone
9182538696
NPI
1114916244
Procedures
3
Total Claims
19.1K
Patients Served
16.2K
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 | $28.43 | 12,084 | 11,916 |
| Dental Filling | $95.84 | 6,184 | 3,828 |
| Tooth Extraction | $64.33 | 804 | 473 |
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