Based on public Medicaid payment data.
Katrina Mosley
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
570 E 115Th St
Chicago, IL 606285740
Phone
7737685000
NPI
1326440538
Procedures
2
Total Claims
264
Patients Served
251
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 | $12.29 | 249 | 239 |
| Tooth Extraction | $35.70 | 15 | 12 |
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