Based on public Medicaid payment data.
Maya Benes
Medicaid Provider in Cicero, IL
Type
Individual Provider
Address
2254 S Cicero Ave
Cicero, IL 608042411
Phone
7086562222
NPI
1366893554
Procedures
3
Total Claims
1.4K
Patients Served
1.2K
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 | $27.42 | 1,016 | 965 |
| Dental Filling | $68.17 | 359 | 260 |
| Dental Crown | $219.57 | 19 | 16 |
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