Based on public Medicaid payment data.
Jacob R Kaufman
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
12596 Se Stark St Bldg N
Portland, OR 972331056
Phone
5032529657
NPI
1134732100
Procedures
2
Total Claims
446
Patients Served
433
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 | $33.98 | 422 | 420 |
| Dental Filling | $71.00 | 24 | 13 |
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