Based on public Medicaid payment data.
Katie Wilson
Medicaid Provider in Crystal Lake, IL
Type
Individual Provider
Address
388 W. Terra Cotta Ave.
Crystal Lake, IL 60014
Phone
6083610311
NPI
1588194229
Procedures
3
Total Claims
3.1K
Patients Served
2.6K
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 | $2.88 | 2,299 | 2,068 |
| Dental Filling | $10.90 | 743 | 514 |
| Tooth Extraction | $15.71 | 82 | 39 |
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