Based on public Medicaid payment data.
Kellie Sue Ophus
Medicaid Provider in Shawnee, OK
Type
Individual Provider
Address
19 W Interstate Pkwy
Shawnee, OK 748041331
Phone
4052750675
NPI
1174819841
Procedures
4
Total Claims
19.1K
Patients Served
15.5K
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 | $29.20 | 13,284 | 12,996 |
| Tooth Extraction | $121.86 | 3,052 | 621 |
| Dental Filling | $116.06 | 2,701 | 1,834 |
| Dental Crown | $609.77 | 13 | 12 |
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