Based on public Medicaid payment data.
Susan Renee Davis
Medicaid Provider in Laverne, OK
Type
Individual Provider
Address
703 S Oklahoma Drive
Laverne, OK 738481230
Phone
5809213343
NPI
1386647600
Procedures
3
Total Claims
4.7K
Patients Served
4.6K
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 | $27.82 | 4,533 | 4,510 |
| Dental Filling | $78.27 | 103 | 64 |
| Tooth Extraction | $67.07 | 18 | 13 |
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