Based on public Medicaid payment data.
Susan Ann Rowan
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
801 S Paulina St
Chicago, IL 606127210
Phone
3123550435
NPI
1982963724
Procedures
5
Total Claims
122.9K
Patients Served
104K
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 | $37.81 | 66,833 | 62,734 |
| Dental Filling | $101.10 | 35,210 | 28,229 |
| Tooth Extraction | $103.07 | 17,033 | 9,934 |
| Dental Crown | $537.89 | 2,812 | 2,271 |
| Root Canal | $336.62 | 1,009 | 858 |
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