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Based on public Medicaid payment data.

Damon L Johnson

Medicaid Provider in Oklahoma City, OK

Type

Individual Provider

Address

Mydentist 4420 I40 Service Road

Oklahoma City, OK 731081896

Phone

4059488779

NPI

1093911406

Procedures

3

Total Claims

14.1K

Patients Served

11.7K

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 $28.62 9,798 9,564
Dental Filling $123.55 2,232 1,537
Tooth Extraction $122.83 2,048 569

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