Based on public Medicaid payment data.
Thomas William Evans
Medicaid Provider in Ottumwa, IA
Type
Individual Provider
Address
740 Pennsylvania Ave
Ottumwa, IA 525012152
Phone
6416831000
NPI
1083721211
Procedures
4
Total Claims
19.6K
Patients Served
17.8K
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 | $23.87 | 16,531 | 16,032 |
| Dental Filling | $66.27 | 2,325 | 1,434 |
| Tooth Extraction | $54.50 | 592 | 280 |
| Root Canal | $58.99 | 194 | 93 |
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