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Based on public Medicaid payment data.

Brad Alan Liston

Medicaid Provider in Ponca City, OK

Type

Individual Provider

Address

1908 N 14Th St Ste 204

Ponca City, OK 746012039

Phone

5807635900

NPI

1487817375

Procedures

1

Total Claims

362

Patients Served

355

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
Office Visit $36.94 362 355

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