Based on public Medicaid payment data.
Luis Pedro Miron Carcamo
Medicaid Provider in Champaign, IL
Type
Individual Provider
Address
1701 S Prospect Ave Ste 201
Champaign, IL 618207054
Phone
2173057980
NPI
1962790006
Procedures
3
Total Claims
12.7K
Patients Served
11.9K
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 | $26.73 | 9,838 | 9,628 |
| Dental Filling | $55.37 | 2,789 | 2,246 |
| Tooth Extraction | $50.17 | 30 | 24 |
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