Based on public Medicaid payment data.
Roy Creager Lusch
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
948 Ne 102Nd Ave
Portland, OR 972204064
Phone
5032531109
NPI
1467519868
Procedures
2
Total Claims
238
Patients Served
198
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 | $22.47 | 188 | 171 |
| Dental Filling | $53.58 | 50 | 27 |
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