Based on public Medicaid payment data.
Srutha Keerthi Chebolu
Medicaid Provider in Bloomington, IL
Type
Individual Provider
Address
401 N Veterans Pkwy Ste 4
Bloomington, IL 617047716
Phone
3098081317
NPI
1326663873
Procedures
3
Total Claims
7K
Patients Served
6.7K
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 | $31.67 | 6,016 | 5,869 |
| Dental Filling | $59.28 | 556 | 485 |
| Tooth Extraction | $85.95 | 393 | 319 |
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