Based on public Medicaid payment data.
Tess Rebecka Gladstone
Medicaid Provider in Keizer, OR
Type
Individual Provider
Address
4817 River Rd N
Keizer, OR 97303
Phone
5038744560
NPI
1356720908
Procedures
4
Total Claims
29.6K
Patients Served
26.2K
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 | $34.13 | 23,620 | 23,240 |
| Dental Filling | $89.94 | 3,302 | 1,761 |
| Tooth Extraction | $83.24 | 2,013 | 879 |
| Root Canal | $84.64 | 647 | 336 |
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