Based on public Medicaid payment data.
Nicholas Novakovich
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
6616 S Western Ave
Oklahoma City, OK 731391708
Phone
4056017852
NPI
1043886278
Procedures
3
Total Claims
11.6K
Patients Served
8K
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 | $30.80 | 6,414 | 6,225 |
| Tooth Extraction | $119.82 | 3,065 | 674 |
| Dental Filling | $97.22 | 2,149 | 1,123 |
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