Based on public Medicaid payment data.
Mary Diya Chalaveetil
Medicaid Provider in Bartlett, IL
Type
Individual Provider
Address
369 Persimmon Ct
Bartlett, IL 601031586
Phone
6305180899
NPI
1295412948
Procedures
4
Total Claims
4.5K
Patients Served
4.3K
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 | $34.38 | 3,326 | 3,323 |
| Dental Filling | $62.78 | 1,017 | 889 |
| Tooth Extraction | $68.97 | 125 | 79 |
| Dental Crown | $288.88 | 17 | 14 |
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