Based on public Medicaid payment data.
Robert Lyle Mccullough
Medicaid Provider in Tigard, OR
Type
Individual Provider
Address
11820 Sw King James Pl Ste 20
Tigard, OR 972242481
Phone
5039682901
NPI
1164926788
Procedures
2
Total Claims
694
Patients Served
619
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 | $32.02 | 573 | 550 |
| Dental Filling | $54.79 | 121 | 69 |
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