Based on public Medicaid payment data.
Sebastian Tietze
Medicaid Provider in Newkirk746, OK
Type
Individual Provider
Address
716 S Hwy 77
Newkirk746, OK 746475525
Phone
5803622555
NPI
1548511454
Procedures
1
Total Claims
112
Patients Served
112
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 | $23.38 | 112 | 112 |
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