Based on public Medicaid payment data.
Peter S Lim
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
2316 W Madison St
Chicago, IL 606122228
Phone
3124910601
NPI
1417946641
Procedures
5
Total Claims
84.3K
Patients Served
75.7K
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 | $30.95 | 62,018 | 59,147 |
| Dental Filling | $52.31 | 11,084 | 8,342 |
| Tooth Extraction | $50.67 | 6,883 | 5,197 |
| Root Canal | $68.56 | 4,105 | 2,774 |
| Dental Crown | $248.72 | 239 | 204 |
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