Based on public Medicaid payment data.
Sara E. Banuelos
Medicaid Provider in Downers Grove, IL
Type
Individual Provider
Address
3800 Highland Ave Ste 108
Downers Grove, IL 605151558
Phone
6302410666
NPI
1164542429
Procedures
4
Total Claims
5K
Patients Served
4.7K
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 | $33.12 | 4,245 | 4,027 |
| Dental Filling | $51.85 | 583 | 498 |
| Tooth Extraction | $45.95 | 110 | 97 |
| Root Canal | $68.92 | 52 | 40 |
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