Based on public Medicaid payment data.
Thomas Basey
Medicaid Provider in Midwest City, OK
Type
Individual Provider
Address
304 S Air Depot Blvd
Midwest City, OK 731104433
Phone
4057330002
NPI
1568407997
Procedures
2
Total Claims
2.8K
Patients Served
1.8K
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 | $32.39 | 1,596 | 1,572 |
| Tooth Extraction | $127.89 | 1,196 | 247 |
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