Based on public Medicaid payment data.
Jordan Peterschmidt
Medicaid Provider in Salem, OR
Type
Individual Provider
Address
470 Glen Creek Rd Nw
Salem, OR 973043060
Phone
5419053816
NPI
1528444163
Procedures
3
Total Claims
12.9K
Patients Served
11.1K
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 | 9,499 | 9,155 |
| Dental Filling | $0.00 | 3,410 | 1,931 |
| Tooth Extraction | $0.00 | 23 | 12 |
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