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Based on public Medicaid payment data.

Bruce Levoyle Richardson

Medicaid Provider in Portland, OR

Type

Individual Provider

Address

3048 Sw Comus St

Portland, OR 972197692

Phone

5034848130

NPI

1982031316

Procedures

2

Total Claims

358

Patients Served

325

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 $10.74 272 272
Dental Filling $13.64 86 53

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