Based on public Medicaid payment data.
Anthony B. Bouneff
Medicaid Provider in Beaverton, OR
Type
Individual Provider
Address
3925 Sw 153Rd Dr
Beaverton, OR 970064166
Phone
5036467101
NPI
1972643963
Procedures
2
Total Claims
867
Patients Served
618
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 | $84.48 | 507 | 502 |
| Tooth Extraction | $264.82 | 360 | 116 |
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