Based on public Medicaid payment data.
Anh Soh La
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
5635 W Belmont Ave
Chicago, IL 606344384
Phone
7737361830
NPI
1538717327
Procedures
2
Total Claims
91
Patients Served
72
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 | $24.47 | 61 | 51 |
| Tooth Extraction | $61.29 | 30 | 21 |
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