Based on public Medicaid payment data.
Charles R. Keithline
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
1421 E 13Th St
Tulsa, OK 741205207
Phone
9185853744
NPI
1932269933
Procedures
3
Total Claims
4.7K
Patients Served
3.8K
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 | $27.25 | 3,178 | 3,178 |
| Dental Filling | $84.62 | 1,402 | 560 |
| Tooth Extraction | $64.55 | 133 | 75 |
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