Based on public Medicaid payment data.
Jordan Alexander Noe
Medicaid Provider in Midwest City, OK
Type
Individual Provider
Address
1900 S Air Depot Blvd Ste 1
Midwest City, OK 731105522
Phone
4054551534
NPI
1508432808
Procedures
3
Total Claims
2.8K
Patients Served
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 | $29.69 | 1,462 | 1,458 |
| Dental Filling | $106.24 | 719 | 336 |
| Tooth Extraction | $119.85 | 599 | 157 |
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