Based on public Medicaid payment data.
Jackson Van
Medicaid Provider in Gladstone, OR
Type
Individual Provider
Address
20140 Mcloughlin Blvd
Gladstone, OR 970272604
Phone
9714041374
NPI
1083442164
Procedures
2
Total Claims
66
Patients Served
58
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 | $6.27 | 41 | 41 |
| Dental Filling | $0.00 | 25 | 17 |
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