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Based on public Medicaid payment data.

Kimberley M.H. Bolden

Medicaid Provider in Chicago, IL

Type

Individual Provider

Address

55 E Washington St Ste 3104

Chicago, IL 606022259

Phone

3123727874

NPI

1093873903

Procedures

3

Total Claims

939

Patients Served

841

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 $13.37 656 630
Dental Filling $0.00 257 199
Tooth Extraction $0.00 26 12

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