Based on public Medicaid payment data.
Kevin Stewart Smith
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
1000 N Lincoln Blvd
Oklahoma City, OK 731043252
Phone
4052714955
NPI
1396785481
Procedures
4
Total Claims
1.6K
Patients Served
920
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 |
|---|---|---|---|
| Tooth Extraction | $209.96 | 1,040 | 328 |
| Office Visit | $80.57 | 401 | 401 |
| Dental Cleaning & Exam | $31.76 | 185 | 179 |
| CT Scan (Computed Tomography) | $81.42 | 12 | 12 |
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