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Based on public Medicaid payment data.

Wirawut Thothong Semtner

Medicaid Provider in Jenks, OK

Type

Individual Provider

Address

404 S Elm St Ste 108

Jenks, OK 740373714

Phone

9184172417

NPI

1922691328

Procedures

4

Total Claims

7.2K

Patients Served

6.5K

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 $26.61 6,555 6,139
Tooth Extraction $65.38 514 255
Dental Filling $95.17 107 63
Root Canal $91.47 52 24

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