Based on public Medicaid payment data.
David Alan Petroselli
Medicaid Provider in Carol Stream, IL
Type
Individual Provider
Address
640 E Saint Charles Rd
Carol Stream, IL 601883083
Phone
6306537890
NPI
1720241896
Procedures
3
Total Claims
6.9K
Patients Served
6.4K
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 | $31.00 | 6,456 | 6,082 |
| Dental Filling | $49.34 | 396 | 336 |
| Tooth Extraction | $52.16 | 15 | 12 |
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