Based on public Medicaid payment data.
Victor R Mancuso
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
6400 Se Lake Rd Ste 140
Portland, OR 972222194
Phone
5034964766
NPI
1508967704
Procedures
2
Total Claims
762
Patients Served
753
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 | $130.09 | 750 | 741 |
| Root Canal | $1,050 | 12 | 12 |
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