Based on public Medicaid payment data.
Jenny Li
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
5521 S Kedzie Ave Unit 105
Chicago, IL 606292448
Phone
7734341600
NPI
1942043815
Procedures
2
Total Claims
210
Patients Served
207
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 | $35.85 | 183 | 183 |
| Dental Filling | $88.07 | 27 | 24 |
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