Based on public Medicaid payment data.
Goun Bak
Medicaid Provider in Salem, OR
Type
Individual Provider
Address
408 Lancaster Dr Ne
Salem, OR 973014728
Phone
5039804563
NPI
1528791241
Procedures
2
Total Claims
2.2K
Patients Served
1.9K
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 | $0.06 | 1,533 | 1,391 |
| Dental Filling | $0.00 | 691 | 544 |
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