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Based on public Medicaid payment data.

Issa Sahouri

Medicaid Provider in Decatur, IL

Type

Individual Provider

Address

141 E Pershing Rd

Decatur, IL 625263213

Phone

2178776559

NPI

1669218798

Procedures

3

Total Claims

2.1K

Patients Served

1.9K

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 $33.41 1,683 1,682
Dental Filling $68.47 225 152
Tooth Extraction $75.22 159 105

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