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Based on public Medicaid payment data.

Miranda Elizabeth Davis

Medicaid Provider in Bend, OR

Type

Individual Provider

Address

2084 Ne Professional Ct

Bend, OR 977016077

Phone

5413833005

NPI

1164596201

Procedures

3

Total Claims

733

Patients Served

664

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 $20.22 596 579
Dental Filling $47.36 113 72
Tooth Extraction $40.68 24 13

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