Based on public Medicaid payment data.
Francisco Juson
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
11699 Ne Glisan St
Portland, OR 972202264
Phone
5032527777
NPI
1275837239
Procedures
3
Total Claims
12.5K
Patients Served
9K
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 | $24.61 | 6,036 | 5,947 |
| Dental Filling | $51.55 | 4,527 | 2,478 |
| Tooth Extraction | $33.99 | 1,915 | 585 |
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