Based on public Medicaid payment data.
Gabriella Tatiana Brigando
Medicaid Provider in Dixon, IL
Type
Individual Provider
Address
1355 N Galena Ave
Dixon, IL 610211009
Phone
8152841995
NPI
1851083331
Procedures
3
Total Claims
984
Patients Served
839
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 | $33.49 | 651 | 650 |
| Dental Filling | $49.64 | 223 | 161 |
| Tooth Extraction | $70.10 | 110 | 28 |
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