Based on public Medicaid payment data.
Jacqueline Young Eriguel
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
2155 N Elston Ave Apt 218
Chicago, IL 606140048
Phone
3475385619
NPI
1154037018
Procedures
3
Total Claims
761
Patients Served
713
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 | $25.23 | 614 | 608 |
| Tooth Extraction | $90.10 | 109 | 79 |
| Dental Filling | $72.73 | 38 | 26 |
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