Based on public Medicaid payment data.
Allyson P Domian
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
1321 E 35Th St
Tulsa, OK 741052648
Phone
9187432928
NPI
1730671371
Procedures
2
Total Claims
106
Patients Served
89
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 | $25.46 | 61 | 59 |
| Dental Filling | $67.22 | 45 | 30 |
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