Based on public Medicaid payment data.
Donald Leon Theriault
Medicaid Provider in Portland, ME
Type
Individual Provider
Address
595 Brighton Ave
Portland, ME 041022322
Phone
2077741471
NPI
1669502795
Procedures
1
Total Claims
36
Patients Served
26
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 | $44.39 | 36 | 26 |
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