Based on public Medicaid payment data.
My Hai Lac
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
1102 Ne 82Nd Ave
Portland, OR 972205701
Phone
5034088927
NPI
1952034738
Procedures
3
Total Claims
3.5K
Patients Served
3.3K
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 | $45.53 | 2,950 | 2,950 |
| Dental Filling | $94.31 | 547 | 342 |
| Tooth Extraction | $91.82 | 44 | 25 |
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