Based on public Medicaid payment data.
Thomas Shogo Backus
Medicaid Provider in Vancouver, WA
Type
Individual Provider
Address
503 Nw 84Th Cir
Vancouver, WA 986657720
Phone
3607718987
NPI
1730664772
Procedures
3
Total Claims
6.7K
Patients Served
5.9K
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 | $29.49 | 5,652 | 5,071 |
| Dental Filling | $58.76 | 952 | 753 |
| Tooth Extraction | $34.99 | 110 | 70 |
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