Based on public Medicaid payment data.
Glenn A Ashmore
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
3104 Nw 23
Oklahoma City, OK 73107
Phone
4059490123
NPI
1750379921
Procedures
2
Total Claims
928
Patients Served
825
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 | $30.73 | 798 | 785 |
| Tooth Extraction | $111.95 | 130 | 40 |
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