Based on public Medicaid payment data.
Gayle Ann Kostyack
Medicaid Provider in Pawnee, OK
Type
Individual Provider
Address
1201 Heritage Cir
Pawnee, OK 740583744
Phone
9187626570
NPI
1548350796
Procedures
3
Total Claims
522
Patients Served
477
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 | $34.21 | 368 | 367 |
| Dental Filling | $94.80 | 89 | 70 |
| Tooth Extraction | $66.82 | 65 | 40 |
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