Based on public Medicaid payment data.
David T. Evans
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
5818 Nw 50Th St
Oklahoma City, OK 731225100
Phone
8012018396
NPI
1871807172
Procedures
5
Total Claims
129.7K
Patients Served
85.3K
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 | $26.51 | 58,110 | 57,201 |
| Dental Filling | $82.30 | 26,394 | 11,901 |
| Root Canal | $90.64 | 25,847 | 8,583 |
| Tooth Extraction | $62.67 | 19,227 | 7,595 |
| Prescription Medications | $0.00 | 88 | 69 |
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