Based on public Medicaid payment data.
Ashley Adams Holloman
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
5222 N. Portland Avenue
Oklahoma City, OK 73112
Phone
4059471525
NPI
1992997811
Procedures
3
Total Claims
78K
Patients Served
75.9K
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 | $27.37 | 72,764 | 71,953 |
| Dental Filling | $81.36 | 3,520 | 2,830 |
| Tooth Extraction | $65.24 | 1,682 | 1,120 |
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