Based on public Medicaid payment data.
Daniel Simmonds Cannon
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
3345 S Harvard Ave Ste 103
Tulsa, OK 741351800
Phone
9187431351
NPI
1013176098
Procedures
2
Total Claims
1.3K
Patients Served
1K
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 | $27.18 | 899 | 895 |
| Tooth Extraction | $171.63 | 437 | 151 |
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