Based on public Medicaid payment data.
Sean A Benson
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
3181 Sw Sam Jackson Park Rd
Portland, OR 972393011
Phone
5034948916
NPI
1962402974
Procedures
2
Total Claims
105
Patients Served
104
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 | $5.83 | 91 | 91 |
| Dental Filling | $0.00 | 14 | 13 |
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