Based on public Medicaid payment data.
Cody Simon Negrete
Medicaid Provider in Bend, OR
Type
Individual Provider
Address
62968 O B Riley Rd Bldg D
Bend, OR 977039442
Phone
8554336825
NPI
1518246578
Procedures
3
Total Claims
6.4K
Patients Served
5.1K
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 | $0.92 | 5,129 | 4,243 |
| Dental Filling | $0.15 | 668 | 518 |
| Tooth Extraction | $2.11 | 622 | 325 |
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