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Based on public Medicaid payment data.

Thomas Bryon Jourdan

Medicaid Provider in Vinita, OK

Type

Individual Provider

Address

120A W Delaware Ave

Vinita, OK 743014224

Phone

9182566831

NPI

1912051400

Procedures

2

Total Claims

6.9K

Patients Served

6.2K

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 $30.22 5,693 5,637
Dental Filling $97.82 1,197 576

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