Based on public Medicaid payment data.
Brant Philip Rouse
Medicaid Provider in Tahlequah, OK
Type
Individual Provider
Address
559 Meadow Creek Dr
Tahlequah, OK 744641088
Phone
9184560977
NPI
1588657563
Procedures
1
Total Claims
240
Patients Served
240
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 | $23.77 | 240 | 240 |
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