Based on public Medicaid payment data.
Adam Polan
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3514 Ne Broadway St
Portland, OR 972321821
Phone
5032841602
NPI
1902136989
Procedures
3
Total Claims
17.1K
Patients Served
14.4K
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 | $0.11 | 11,367 | 11,012 |
| Dental Filling | $0.35 | 3,730 | 2,575 |
| Tooth Extraction | $0.10 | 2,050 | 803 |
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