Based on public Medicaid payment data.
Sooyeon Shim
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
4410 Se 82Nd Ave Ste 2050
Portland, OR 972662955
Phone
5037710081
NPI
1487039897
Procedures
3
Total Claims
8.7K
Patients Served
7.3K
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 | $35.96 | 5,623 | 5,570 |
| Dental Filling | $60.96 | 2,602 | 1,530 |
| Tooth Extraction | $78.75 | 500 | 242 |
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