Based on public Medicaid payment data.
Agastayya Chandalada
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
430 W Erie St
Chicago, IL 606546914
Phone
9208381649
NPI
1407084023
Procedures
1
Total Claims
32
Patients Served
27
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 Crown | $642.97 | 32 | 27 |
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