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Based on public Medicaid payment data.

Vashti Bueso

Medicaid Provider in Chicago, IL

Type

Individual Provider

Address

801 S Paulina St

Chicago, IL 606127210

Phone

0775026176

NPI

1467067967

Procedures

3

Total Claims

1.4K

Patients Served

1.4K

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 $58.08 1,101 1,050
Root Canal $233.50 309 295
Dental Filling $65.47 29 26

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