Based on public Medicaid payment data.
O'Sama Shahadeh Betrous
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
12661 Se Powell Blvd Ste D
Portland, OR 972363400
Phone
5037607983
NPI
1891949939
Procedures
3
Total Claims
7.7K
Patients Served
6.7K
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 | $29.19 | 5,948 | 5,681 |
| Dental Filling | $62.13 | 1,716 | 1,028 |
| Tooth Extraction | $46.73 | 40 | 27 |
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