Based on public Medicaid payment data.
Nastaran Agheli
Medicaid Provider in Bourbonnais, IL
Type
Individual Provider
Address
2034 N State Route 50
Bourbonnais, IL 609144410
Phone
8159290222
NPI
1821878786
Procedures
3
Total Claims
2.7K
Patients Served
2.5K
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 | $40.12 | 2,223 | 2,174 |
| Dental Filling | $111.25 | 395 | 266 |
| Tooth Extraction | $71.00 | 43 | 32 |
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