Based on public Medicaid payment data.
Jovan M Gvozden
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
10535 Ne Glisan St
Portland, OR 972204077
Phone
5034448181
NPI
1841252517
Procedures
2
Total Claims
4.5K
Patients Served
2K
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 |
|---|---|---|---|
| Tooth Extraction | $69.30 | 4,489 | 1,906 |
| Dental Cleaning & Exam | $14.94 | 54 | 53 |
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