Based on public Medicaid payment data.
Dustin Curt Lively
Medicaid Provider in Mangum, OK
Type
Individual Provider
Address
230 E Jefferson St
Mangum, OK 735544202
Phone
5807822552
NPI
1073527933
Procedures
2
Total Claims
199
Patients Served
123
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 |
|---|---|---|---|
| Tooth Extraction | $73.31 | 120 | 48 |
| Dental Cleaning & Exam | $31.41 | 79 | 75 |
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