Based on public Medicaid payment data.
Eduardo Daniel Gonzalez
Medicaid Provider in East Peoria, IL
Type
Individual Provider
Address
220 W Washington St
East Peoria, IL 616112477
Phone
3098394673
NPI
1740806686
Procedures
4
Total Claims
2.9K
Patients Served
2.8K
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 | $31.33 | 2,679 | 2,593 |
| Dental Filling | $64.26 | 156 | 112 |
| Dental Crown | $276.10 | 46 | 28 |
| Tooth Extraction | $118.82 | 28 | 25 |
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