Based on public Medicaid payment data.
Thomas Lee Mosley
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
15925 Se Stark St
Portland, OR 972333525
Phone
9717576563
NPI
1134594781
Procedures
3
Total Claims
731
Patients Served
465
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 | $0.84 | 459 | 328 |
| Dental Filling | $1.93 | 149 | 82 |
| Tooth Extraction | $0.81 | 123 | 55 |
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