Based on public Medicaid payment data.
Jeanine Lea Herzog
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3653 Se 34Th Ave
Portland, OR 97202
Phone
5036659616
NPI
1457429425
Procedures
3
Total Claims
10.4K
Patients Served
9.3K
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 | $46.52 | 7,585 | 7,374 |
| Dental Filling | $67.03 | 1,779 | 1,184 |
| Tooth Extraction | $133.76 | 1,012 | 735 |
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