Based on public Medicaid payment data.
Jeromy Wade Dauphin
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
1024 Sw 104Th St
Oklahoma City, OK 731392990
Phone
4056911123
NPI
1679723712
Procedures
3
Total Claims
11.3K
Patients Served
9.3K
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 | $28.62 | 8,447 | 8,312 |
| Tooth Extraction | $120.88 | 1,888 | 383 |
| Dental Filling | $137.62 | 926 | 642 |
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