Based on public Medicaid payment data.
Noor Al Sammarraie
Medicaid Provider in Addison, IL
Type
Individual Provider
Address
200 W Lake St
Addison, IL 601012513
Phone
6306283115
NPI
1619548666
Procedures
3
Total Claims
4.1K
Patients Served
3.9K
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 | $30.45 | 3,686 | 3,650 |
| Dental Filling | $58.63 | 208 | 155 |
| Tooth Extraction | $54.64 | 198 | 127 |
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