Based on public Medicaid payment data.
Ajay Das
Medicaid Provider in Bourbonnais, IL
Type
Individual Provider
Address
2034 N State Route 50
Bourbonnais, IL 609144410
Phone
6464607760
NPI
1891002994
Procedures
4
Total Claims
18.5K
Patients Served
15.6K
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 | $29.13 | 15,572 | 13,807 |
| Tooth Extraction | $58.47 | 2,626 | 1,548 |
| Dental Filling | $61.41 | 247 | 176 |
| Dental Crown | $230.08 | 36 | 28 |
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