Based on public Medicaid payment data.
Laurel Vana Frausto
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
811 W Wellington Ave
Chicago, IL 606575123
Phone
6302171208
NPI
1366936627
Procedures
4
Total Claims
7.6K
Patients Served
7K
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 | $32.03 | 6,510 | 6,143 |
| Dental Filling | $50.51 | 677 | 570 |
| Tooth Extraction | $55.23 | 362 | 318 |
| Root Canal | $73.78 | 15 | 13 |
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