Based on public Medicaid payment data.
Katherine Ann Gamble
Medicaid Provider in Midwest City, OK
Type
Individual Provider
Address
800 S Douglas Blvd
Midwest City, OK 731304215
Phone
4057331641
NPI
1275159162
Procedures
3
Total Claims
480
Patients Served
433
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 | $36.56 | 382 | 376 |
| Dental Filling | $111.09 | 63 | 42 |
| Tooth Extraction | $73.66 | 35 | 15 |
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