Based on public Medicaid payment data.
Evan J Short
Medicaid Provider in Belvidere, IL
Type
Individual Provider
Address
760 Beloit Rd
Belvidere, IL 610081745
Phone
8155475151
NPI
1861558652
Procedures
4
Total Claims
3.1K
Patients Served
2.7K
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 | $30.28 | 2,255 | 2,158 |
| Dental Filling | $103.55 | 671 | 411 |
| Dental Crown | $427.65 | 137 | 116 |
| Tooth Extraction | $52.31 | 48 | 14 |
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