Based on public Medicaid payment data.
Gavin Humphrey Martindale
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
710 W 71St St
Tulsa, OK 741321825
Phone
9182628925
NPI
1124710801
Procedures
3
Total Claims
4.1K
Patients Served
2.7K
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 | $29.81 | 2,299 | 2,080 |
| Tooth Extraction | $132.86 | 1,026 | 253 |
| Dental Filling | $158.84 | 765 | 412 |
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