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Based on public Medicaid payment data.

Kristina Tee

Medicaid Provider in Gresham, OR

Type

Individual Provider

Address

742 Ne Division St Ste 201

Gresham, OR 97030

Phone

5039126250

NPI

1780924951

Procedures

4

Total Claims

10.7K

Patients Served

9.6K

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 $37.32 9,024 8,888
Dental Filling $85.93 1,298 527
Tooth Extraction $85.86 361 170
Root Canal $55.60 58 29

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