Based on public Medicaid payment data.
Timothy Semon
Medicaid Provider in Tulsa, OK
Type
Individual Provider
Address
1420 S Lewis Ave
Tulsa, OK 741044641
Phone
9189495540
NPI
1740860139
Procedures
1
Total Claims
90
Patients Served
90
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 | $30.07 | 90 | 90 |
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