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Based on public Medicaid payment data.

Changa H. Cannon

Medicaid Provider in Tulsa, OK

Type

Individual Provider

Address

7458 S Olympia Ave

Tulsa, OK 741321838

Phone

2024893661

NPI

1578581476

Procedures

1

Total Claims

787

Patients Served

104

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
Tooth Extraction $115.14 787 104

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