Based on public Medicaid payment data.
David Jacob Raphael
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
2323 Nw Westover Rd
Portland, OR 972103524
Phone
5038932889
NPI
1104142900
Procedures
3
Total Claims
3.5K
Patients Served
3.5K
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 | $31.74 | 3,431 | 3,409 |
| Dental Filling | $66.30 | 46 | 28 |
| Tooth Extraction | $80.00 | 36 | 14 |
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