I looked through the OHIP fee schedule, and there are a variety of family physician visit codes. Most of them range from $30 - $60 per visit. Most are non-overlapping, so there may be a few situations where the MD could double up and bill for more than one service during the same visit, but probably not too often. And even if they could bill for more than one, it's not likely to total $200 very often. And they pay most overhead costs (nurse, receptionist, rent, etc) out of that.

Of course, unlike some American physicians, they get paid for pretty much every visit - no defaults, few challenges - and always have a full day. Plus the billing submission to one payer is very efficient, and malpractice insurance is much cheaper.

My wife just paid the dentist $1500 and the private insurer covered half.