Based on public Medicaid payment data.
Mona Sawwan
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
903 S Ashland Ave Apt 1008
Chicago, IL 606074190
Phone
2177213771
NPI
1528627031
Procedures
4
Total Claims
21.6K
Patients Served
16.6K
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 | $25.41 | 12,488 | 12,218 |
| Tooth Extraction | $66.59 | 4,845 | 2,147 |
| Dental Filling | $56.90 | 4,168 | 2,122 |
| Root Canal | $348.60 | 129 | 114 |
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