Based on public Medicaid payment data.
Michael Holm
Medicaid Provider in Grants Pass, OR
Type
Individual Provider
Address
124 Ne Evelyn Ave
Grants Pass, OR 975261427
Phone
5419369456
NPI
1891020806
Procedures
3
Total Claims
2.6K
Patients Served
2.3K
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 | $10.85 | 2,037 | 2,029 |
| Dental Filling | $19.15 | 349 | 240 |
| Tooth Extraction | $12.45 | 247 | 80 |
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