Based on public Medicaid payment data.
Alan Daniel Quirarte
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
5621 W Montrose Ave
Chicago, IL 606341830
Phone
7734271000
NPI
1538844071
Procedures
3
Total Claims
957
Patients Served
933
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 | $32.88 | 909 | 902 |
| Dental Filling | $75.00 | 25 | 17 |
| Tooth Extraction | $79.16 | 23 | 14 |
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