Based on public Medicaid payment data.
Gary Alan White
Medicaid Provider in Gresham, OR
Type
Individual Provider
Address
320 Ne 5Th St
Gresham, OR 970307308
Phone
5036665484
NPI
1861557100
Procedures
2
Total Claims
207
Patients Served
195
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 | $22.25 | 184 | 181 |
| Tooth Extraction | $192.60 | 23 | 14 |
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