Based on public Medicaid payment data.
Fariba Rostamian Mutschler
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
13908 Se Stark St
Portland, OR 972332161
Phone
5032545535
NPI
1043345598
Procedures
4
Total Claims
1.5K
Patients Served
1.1K
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 | $65.40 | 755 | 751 |
| Dental Filling | $192.61 | 544 | 241 |
| Root Canal | $239.27 | 104 | 42 |
| Tooth Extraction | $140.73 | 70 | 25 |
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