Based on public Medicaid payment data.
George Pete Leseberg
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
700 Ne Multnomah St
Portland, OR 97232
Phone
5032324488
NPI
1417964321
Procedures
2
Total Claims
280
Patients Served
265
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 | $34.44 | 252 | 252 |
| Tooth Extraction | $74.29 | 28 | 13 |
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