Based on public Medicaid payment data.
Dmitry Keysalov
Medicaid Provider in Tualatin, OR
Type
Individual Provider
Address
7017 Sw Nyberg St
Tualatin, OR 970626243
Phone
5036128736
NPI
1841736634
Procedures
1
Total Claims
13
Patients Served
12
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 | $608.38 | 13 | 12 |
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