Based on public Medicaid payment data.
Shanel W Cook
Medicaid Provider in Country Club Hills, IL
Type
Individual Provider
Address
4633 175Th Pl
Country Club Hills, IL 604784530
Phone
3123123923
NPI
1861965998
Procedures
3
Total Claims
5.1K
Patients Served
4.6K
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 | $22.21 | 3,806 | 3,779 |
| Dental Filling | $54.05 | 926 | 611 |
| Tooth Extraction | $56.08 | 364 | 203 |
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