Based on public Medicaid payment data.
Jacqueline Magallanes
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
7124 W Diversey Ave
Chicago, IL 607071601
Phone
7732378855
NPI
1114448578
Procedures
3
Total Claims
8K
Patients Served
7.3K
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 | $32.46 | 7,146 | 6,663 |
| Dental Filling | $59.02 | 875 | 588 |
| Tooth Extraction | $34.77 | 18 | 12 |
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