Based on public Medicaid payment data.
Sammy Anwar Elmosa
Medicaid Provider in Burbank, IL
Type
Individual Provider
Address
5600 W 87Th St
Burbank, IL 604592902
Phone
7089520000
NPI
1891824199
Procedures
5
Total Claims
27K
Patients Served
24.4K
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 | $27.38 | 21,030 | 19,815 |
| Tooth Extraction | $77.55 | 2,260 | 1,758 |
| Dental Filling | $59.68 | 2,138 | 1,606 |
| Dental Crown | $327.80 | 1,527 | 1,188 |
| Root Canal | $207.77 | 86 | 57 |
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