Based on public Medicaid payment data.
Melissa K Ewa
Medicaid Provider in Evergreen Park, IL
Type
Individual Provider
Address
9300 S Central Park Ave
Evergreen Park, IL 608051809
Phone
7736102549
NPI
1386033496
Procedures
4
Total Claims
17.8K
Patients Served
14.9K
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 | $30.40 | 11,247 | 10,972 |
| Dental Filling | $69.52 | 4,991 | 2,939 |
| Tooth Extraction | $73.79 | 1,425 | 887 |
| Dental Crown | $261.43 | 183 | 149 |
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