Based on public Medicaid payment data.
Nicole N Luong
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
12720 Se Stark St
Portland, OR 972331539
Phone
5032526133
NPI
1104982313
Procedures
2
Total Claims
11K
Patients Served
7.8K
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 Filling | $77.23 | 5,704 | 2,803 |
| Dental Cleaning & Exam | $32.94 | 5,260 | 4,997 |
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