Based on public Medicaid payment data.
Andy Mancini
Medicaid Provider in Bloomington, IL
Type
Individual Provider
Address
1407 N Veterans Pkwy
Bloomington, IL 617046630
Phone
3096612999
NPI
1487813473
Procedures
3
Total Claims
2.4K
Patients Served
2.3K
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 | $22.89 | 2,199 | 2,146 |
| Tooth Extraction | $53.18 | 115 | 67 |
| Dental Filling | $47.21 | 104 | 76 |
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