Based on public Medicaid payment data.
Matthew James Gotta
Medicaid Provider in Arlington Heights, IL
Type
Individual Provider
Address
1606 W Campbell St
Arlington Heights, IL 600051516
Phone
8472558439
NPI
1639791296
Procedures
3
Total Claims
1.4K
Patients Served
1.2K
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 | $30.85 | 1,202 | 1,086 |
| Dental Filling | $56.67 | 113 | 70 |
| Tooth Extraction | $44.84 | 41 | 36 |
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