Based on public Medicaid payment data.
Shahram Raoof
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
808 S Michigan Ave Apt 5305
Chicago, IL 606052660
Phone
3128133761
NPI
1063903656
Procedures
2
Total Claims
326
Patients Served
301
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 | $34.82 | 292 | 289 |
| Dental Filling | $70.00 | 34 | 12 |
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