Based on public Medicaid payment data.
Jan Andrew Kooning
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3549 N Lombard
Portland, OR 972175901
Phone
5032899621
NPI
1770599144
Procedures
2
Total Claims
1.1K
Patients Served
711
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 | $85.23 | 566 | 560 |
| Tooth Extraction | $251.71 | 509 | 151 |
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