Based on public Medicaid payment data.
Jonathan William Criter
Medicaid Provider in Great Lakes, IL
Type
Individual Provider
Address
3400 Ohio St
Great Lakes, IL 60088
Phone
8476882100
NPI
1740775576
Procedures
1
Total Claims
35
Patients Served
28
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 | $21.75 | 35 | 28 |
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