Based on public Medicaid payment data.
Mattie Elizabeth Eddleman
Medicaid Provider in Moore, OK
Type
Individual Provider
Address
780 Sw 19Th St
Moore, OK 731603054
Phone
4026692590
NPI
1083346241
Procedures
3
Total Claims
1.1K
Patients Served
776
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 | $33.60 | 516 | 512 |
| Tooth Extraction | $132.21 | 333 | 102 |
| Dental Filling | $125.47 | 285 | 162 |
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