Based on public Medicaid payment data.
Evelina Kratunova
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
801 S Paulina St # Mc850
Chicago, IL 606127210
Phone
3129961984
NPI
1093183907
Procedures
3
Total Claims
588
Patients Served
497
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 | $29.22 | 339 | 335 |
| Root Canal | $285.60 | 136 | 90 |
| Tooth Extraction | $243.59 | 113 | 72 |
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