Based on public Medicaid payment data.
Allen P Momongan
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
2551 N Clark St
Chicago, IL 606141798
Phone
7739359818
NPI
1184757874
Procedures
1
Total Claims
35
Patients Served
34
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 | $34.56 | 35 | 34 |
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