Based on public Medicaid payment data.
Jonathan David Porter
Medicaid Provider in Tacoma, WA
Type
Individual Provider
Address
1202 Martin Luther King Jr Way
Tacoma, WA 984053926
Phone
2534414743
NPI
1811161508
Procedures
3
Total Claims
24.6K
Patients Served
19.5K
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 | $28.71 | 12,866 | 12,246 |
| Dental Filling | $58.41 | 7,087 | 5,016 |
| Tooth Extraction | $41.94 | 4,694 | 2,248 |
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