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Based on public Medicaid payment data.

Jev Clark

Medicaid Provider in Salem, OR

Type

Individual Provider

Address

2266 Mission St Se

Salem, OR 973021267

Phone

5033752000

NPI

1558622936

Procedures

2

Total Claims

5.1K

Patients Served

2.4K

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
Tooth Extraction $245.28 3,343 720
Dental Cleaning & Exam $87.82 1,714 1,637

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