Based on public Medicaid payment data.
Shane Tewis
Medicaid Provider in Sand Springs, OK
Type
Individual Provider
Address
530 Plaza Ct
Sand Springs, OK 740637915
Phone
9182458333
NPI
1962498519
Procedures
2
Total Claims
304
Patients Served
40
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 | $67.99 | 289 | 28 |
| Dental Cleaning & Exam | $49.74 | 15 | 12 |
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