Based on public Medicaid payment data.
Anthony Michael Simon
Medicaid Provider in The Dalles, OR
Type
Individual Provider
Address
1700 E 12Th St
The Dalles, OR 97058
Phone
5412984403
NPI
1720174709
Procedures
1
Total Claims
125
Patients Served
124
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 | $23.35 | 125 | 124 |
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