Based on public Medicaid payment data.
Gowthami Rayani
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
3104 Nw 23Rd St
Oklahoma City, OK 731071902
Phone
4059490123
NPI
1669717120
Procedures
4
Total Claims
16.8K
Patients Served
15.2K
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 | $28.66 | 13,411 | 12,982 |
| Dental Filling | $99.21 | 3,053 | 1,967 |
| Tooth Extraction | $64.22 | 273 | 208 |
| Root Canal | $90.88 | 33 | 28 |
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