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Based on public Medicaid payment data.

Thomas J Holt

Medicaid Provider in Coos Bay, OR

Type

Individual Provider

Address

199 N 9Th St

Coos Bay, OR 974201702

Phone

5412674314

NPI

1902807753

Procedures

3

Total Claims

12.1K

Patients Served

11.3K

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 $2.14 11,106 10,813
Tooth Extraction $4.22 765 364
Dental Filling $1.62 200 119

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