Based on public Medicaid payment data.
Omar Moukaddem
Medicaid Provider in Addison, IL
Type
Individual Provider
Address
200 W Lake St
Addison, IL 601012513
Phone
6306283115
NPI
1336718659
Procedures
4
Total Claims
12.5K
Patients Served
11K
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 | $30.56 | 9,122 | 8,808 |
| Dental Filling | $75.68 | 3,055 | 1,974 |
| Tooth Extraction | $63.40 | 300 | 175 |
| Dental Crown | $272.83 | 62 | 41 |
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