Based on public Medicaid payment data.
Andrey Tolmach
Medicaid Provider in Springfield, OR
Type
Individual Provider
Address
2510 Game Farm Rd
Springfield, OR 974777513
Phone
5039522000
NPI
1093886335
Procedures
3
Total Claims
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 | $0.00 | 1,774 | 1,765 |
| Tooth Extraction | $0.00 | 197 | 93 |
| Dental Filling | $0.00 | 76 | 48 |
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