Based on public Medicaid payment data.
William Moore
Medicaid Provider in Portland, OR
Type
Individual Provider
Address
2730 Sw Moody Ave
Portland, OR 972015042
Phone
5034184333
NPI
1285990853
Procedures
3
Total Claims
2.2K
Patients Served
1.8K
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 | $47.47 | 1,990 | 1,763 |
| Tooth Extraction | $119.26 | 126 | 41 |
| Dental Filling | $185.60 | 35 | 12 |
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