Based on public Medicaid payment data.
Shawn B Davis
Medicaid Provider in Oklahoma City, OK
Type
Individual Provider
Address
1201 N Stonewall Ave
Oklahoma City, OK 731171214
Phone
4052714441
NPI
1518000421
Procedures
2
Total Claims
477
Patients Served
187
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 | $0.56 | 341 | 73 |
| Dental Cleaning & Exam | $239.98 | 136 | 114 |
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