Based on public Medicaid payment data.
Koushan Haidarzadeh Azad
Medicaid Provider in Cicero, IL
Type
Individual Provider
Address
2240 S Cicero Ave
Cicero, IL 608042411
Phone
7066562222
NPI
1154533180
Procedures
3
Total Claims
608
Patients Served
493
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 | $54.92 | 381 | 379 |
| Dental Filling | $67.33 | 157 | 87 |
| Tooth Extraction | $119.00 | 70 | 27 |
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