Based on public Medicaid payment data.
Cynthia Marion Peticolas
Medicaid Provider in Mill City, OR
Type
Individual Provider
Address
548 S 1St Ave
Mill City, OR 97360
Phone
5038972353
NPI
1134180714
Procedures
3
Total Claims
17.4K
Patients Served
15.2K
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 | $29.01 | 14,592 | 13,954 |
| Dental Filling | $71.36 | 1,799 | 819 |
| Tooth Extraction | $83.63 | 996 | 463 |
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