Based on public Medicaid payment data.
Sushilpa Mangineni
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
4104 Se 82Nd Ave Ste 450
Portland, OR 972662958
Phone
5037714324
NPI
1639340284
Procedures
3
Total Claims
543
Patients Served
500
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 | $35.62 | 444 | 443 |
| Dental Filling | $63.79 | 75 | 45 |
| Tooth Extraction | $76.67 | 24 | 12 |
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