Based on public Medicaid payment data.
Kamil Nowacki
Medicaid Provider in Crystal Lake, IL
Type
Individual Provider
Address
600 Dakota St Ste A
Crystal Lake, IL 600123742
Phone
8154591214
NPI
1396304549
Procedures
1
Total Claims
207
Patients Served
141
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 | $29.01 | 207 | 141 |
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