Based on public Medicaid payment data.
Gina C. Bostick
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
1901 Springlake Dr
Oklahoma City, OK 731115201
Phone
4055218486
NPI
1689658700
Procedures
3
Total Claims
398
Patients Served
310
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 | $0.00 | 224 | 224 |
| Tooth Extraction | $68.06 | 155 | 74 |
| Dental Filling | $60.35 | 19 | 12 |
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