Based on public Medicaid payment data.
Dustin Michael Davis
Medicaid Provider in Clackamas, OR
Type
Individual Provider
Address
11411 Se Sunnyside Rd Ste 101
Clackamas, OR 970159356
Phone
5038555100
NPI
1063787497
Procedures
3
Total Claims
11.7K
Patients Served
10.8K
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 | $24.80 | 9,632 | 9,576 |
| Dental Filling | $57.29 | 1,739 | 1,045 |
| Tooth Extraction | $57.03 | 365 | 226 |
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