Based on public Medicaid payment data.
Shawn Lin
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
3201 S Wallace St
Chicago, IL 606163501
Phone
3128427846
NPI
1003360272
Procedures
4
Total Claims
16.1K
Patients Served
14.3K
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 | $29.53 | 11,917 | 11,324 |
| Tooth Extraction | $55.27 | 2,621 | 1,701 |
| Dental Filling | $54.04 | 1,296 | 1,003 |
| Dental Crown | $273.38 | 308 | 239 |
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