Based on public Medicaid payment data.
Abigail Jackie Mohamed
Medicaid Provider in Ontario, OR
Type
Individual Provider
Address
2327 Sw 4Th Ave
Ontario, OR 979141851
Phone
5418890052
NPI
1053797746
Procedures
3
Total Claims
506
Patients Served
499
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 | $9.76 | 476 | 474 |
| Tooth Extraction | $9.41 | 17 | 13 |
| Dental Filling | $0.00 | 13 | 12 |
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