Based on public Medicaid payment data.
Kelley Stewart Wilson
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
5025 Se 28Th Ave
Portland, OR 972024445
Phone
5032384418
NPI
1942224332
Procedures
1
Total Claims
156
Patients Served
154
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 | $114.41 | 156 | 154 |
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