Based on public Medicaid payment data.
Jaden Frost
Medicaid Provider in Moore, OK
Type
Individual Provider
Address
1229 N Eastern Ave
Moore, OK 731605860
Phone
4057931120
NPI
1669755088
Procedures
1
Total Claims
105
Patients Served
81
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 |
|---|---|---|---|
| Vaccines & Immunizations | $13.76 | 105 | 81 |
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