Based on public Medicaid payment data.
Thomas J. Faucher
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
120 S State St
Chicago, IL 606035503
Phone
3126415170
NPI
1649314576
Procedures
4
Total Claims
22.8K
Patients Served
21K
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 | $30.49 | 16,144 | 15,655 |
| Dental Filling | $63.00 | 4,933 | 4,013 |
| Tooth Extraction | $79.97 | 1,469 | 1,131 |
| Dental Crown | $275.77 | 227 | 203 |
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