Based on public Medicaid payment data.
Sugandha Gupta
Medicaid Provider in Beaverton, OR
Type
Individual Provider
Address
2561 Nw 167Th Ave
Beaverton, OR 970067643
Phone
2134212537
NPI
1124631650
Procedures
4
Total Claims
5.1K
Patients Served
4.4K
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 | $67.08 | 2,716 | 2,696 |
| Dental Filling | $62.04 | 1,711 | 1,184 |
| Tooth Extraction | $64.10 | 468 | 333 |
| Root Canal | $99.40 | 213 | 178 |
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