Based on public Medicaid payment data.
Vicken Ichkhan
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
3948 W 26Th St
Chicago, IL 606233738
Phone
7735211190
NPI
1013966266
Procedures
4
Total Claims
23.4K
Patients Served
21.9K
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 | $31.98 | 19,893 | 19,116 |
| Dental Filling | $53.32 | 3,136 | 2,486 |
| Tooth Extraction | $50.46 | 358 | 285 |
| Dental Crown | $263.35 | 15 | 12 |
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