Based on public Medicaid payment data.
Abby Lee
Medicaid Provider in Evergreen Park, IL
Type
Individual Provider
Address
2835 W 95Th St
Evergreen Park, IL 608052702
Phone
6309627700
NPI
1245805019
Procedures
3
Total Claims
867
Patients Served
818
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 | $32.37 | 742 | 737 |
| Dental Filling | $65.60 | 106 | 68 |
| Tooth Extraction | $53.55 | 19 | 13 |
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