Based on public Medicaid payment data.
Agnieszka Iwaszczyszyn
Medicaid Provider in La Grange, IL
Type
Individual Provider
Address
1015 7Th Ave Apt 6
La Grange, IL 605252673
Phone
7082910354
NPI
1821441312
Procedures
3
Total Claims
1K
Patients Served
865
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 | $28.46 | 844 | 754 |
| Tooth Extraction | $51.68 | 157 | 98 |
| Dental Filling | $53.81 | 17 | 13 |
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