Based on public Medicaid payment data.
Brock Wesley Nichols
Medicaid Provider in Shawnee, OK
Type
Individual Provider
Address
3703 N Kickapoo Ave
Shawnee, OK 748041703
Phone
4052750640
NPI
1043882103
Procedures
3
Total Claims
8.6K
Patients Served
5.1K
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 | $32.14 | 3,839 | 3,559 |
| Tooth Extraction | $126.48 | 2,412 | 455 |
| Dental Filling | $130.57 | 2,299 | 1,117 |
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