Based on public Medicaid payment data.
Therese Ngoc Pham
Medicaid Provider in Dallas, OR
Type
Individual Provider
Address
201 Se Washington St Ste A
Dallas, OR 973382860
Phone
5035070996
NPI
1184179616
Procedures
3
Total Claims
15.7K
Patients Served
12.7K
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 | $58.81 | 10,459 | 9,936 |
| Dental Filling | $116.85 | 4,242 | 2,269 |
| Tooth Extraction | $99.55 | 964 | 461 |
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