Based on public Medicaid payment data.
George Ryan Davis
Medicaid Provider in Dallas, OR
Type
Individual Provider
Address
244 E Ellendale Ave Ste 4
Dallas, OR 973381523
Phone
5034006994
NPI
1366765687
Procedures
3
Total Claims
650
Patients Served
540
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 | $217.11 | 508 | 481 |
| Tooth Extraction | $0.00 | 124 | 45 |
| Dental Filling | $0.00 | 18 | 14 |
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