Based on public Medicaid payment data.
Kelly Clark
Medicaid Provider in Decatur, IL
Type
Individual Provider
Address
3737 E Rte 36
Decatur, IL 625215028
Phone
2174232400
NPI
1942379458
Procedures
2
Total Claims
3.9K
Patients Served
3.7K
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 | $32.99 | 3,767 | 3,611 |
| Tooth Extraction | $91.26 | 125 | 91 |
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