Based on public Medicaid payment data.
Alistair L Kok
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
12750 Se Stark St Bldg E
Portland, OR 972331539
Phone
9713473009
NPI
1841376563
Procedures
2
Total Claims
965
Patients Served
868
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 | $40.03 | 854 | 809 |
| Dental Filling | $52.91 | 111 | 59 |
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