Based on public Medicaid payment data.
Tristanne Marie Spottswood
Medicaid Provider in Tinker Afb, OK
Type
Individual Provider
Address
5700 Arnold St
Tinker Afb, OK 731458105
Phone
4057362000
NPI
1245255058
Procedures
4
Total Claims
17.2K
Patients Served
15.4K
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 | $28.29 | 12,951 | 12,916 |
| Dental Filling | $86.56 | 3,364 | 1,983 |
| Tooth Extraction | $68.78 | 833 | 505 |
| Root Canal | $91.47 | 56 | 26 |
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