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Based on public Medicaid payment data.

Kathryn Rae Moore

Medicaid Provider in Glen Carbon, IL

Type

Individual Provider

Address

590 Glen Crossing Rd

Glen Carbon, IL 620341519

Phone

6182889670

NPI

1750510301

Procedures

3

Total Claims

4.2K

Patients Served

3.8K

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 $30.25 3,447 3,348
Dental Filling $76.95 670 424
Tooth Extraction $67.28 71 54

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