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Based on public Medicaid payment data.

Kailee S Jorgenson

Medicaid Provider in Portland, ME

Type

Individual Provider

Address

117 Auburn St

Portland, ME 041036003

Phone

2078089694

NPI

1043879372

Procedures

4

Total Claims

13.6K

Patients Served

12.7K

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 $36.49 11,869 11,627
Dental Filling $84.42 866 654
Tooth Extraction $86.06 798 438
Root Canal $82.82 17 12

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