Based on public Medicaid payment data.
Delores Dee Montgomery
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
625 Nw 13Th St
Oklahoma City, OK 731032239
Phone
4056012307
NPI
1609178243
Procedures
1
Total Claims
17
Patients Served
17
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 |
|---|---|---|---|
| Substance Abuse Treatment | $0.00 | 17 | 17 |
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