Based on public Medicaid payment data.
Mustafa Salam
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
2836 W Devon Ave
Chicago, IL 606591513
Phone
7737879462
NPI
1477108959
Procedures
5
Total Claims
18.9K
Patients Served
16.7K
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 | $25.98 | 13,729 | 12,823 |
| Tooth Extraction | $57.02 | 3,665 | 2,660 |
| Dental Filling | $60.92 | 1,124 | 905 |
| Dental Crown | $277.84 | 384 | 325 |
| Root Canal | $150.76 | 38 | 28 |
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