Based on public Medicaid payment data.
Cristian Sosa-Enamorado
Medicaid Provider in Bloomington, IL
Type
Individual Provider
Address
2111 E Oakland Ave Ste D
Bloomington, IL 617015783
Phone
3096636564
NPI
1467079806
Procedures
2
Total Claims
457
Patients Served
311
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 | $17.98 | 436 | 299 |
| Tooth Extraction | $60.86 | 21 | 12 |
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