Based on public Medicaid payment data.
Matthew Bryant Lake
Medicaid Provider in Dallas, OR
Type
Individual Provider
Address
201 Se Washington St Ste B
Dallas, OR 973382860
Phone
5036232666
NPI
1750952750
Procedures
2
Total Claims
377
Patients Served
366
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 | $8.66 | 327 | 322 |
| Dental Filling | $8.44 | 50 | 44 |
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