Based on public Medicaid payment data.
Camila Peralta-Sugano
Medicaid Provider in Berwyn, IL
Type
Individual Provider
Address
6735 Stanley Ave
Berwyn, IL 604023129
Phone
7084840212
NPI
1699252833
Procedures
1
Total Claims
36
Patients Served
35
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 | $32.13 | 36 | 35 |
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