Based on public Medicaid payment data.
Benjamin Lively
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
2730 S Moody Ave
Portland, OR 972015042
Phone
2147266404
NPI
1891226569
Procedures
1
Total Claims
50
Patients Served
50
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 | $155.52 | 50 | 50 |
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