Based on public Medicaid payment data.
Samidha Rajora
Medicaid Provider in Champaign, IL
Type
Individual Provider
Address
703 B S Neil St
Champaign, IL 61820
Phone
8572109497
NPI
1972286979
Procedures
3
Total Claims
253
Patients Served
223
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 | $0.18 | 165 | 155 |
| Dental Filling | $0.00 | 63 | 54 |
| Tooth Extraction | $0.00 | 25 | 14 |
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