Based on public Medicaid payment data.
Jack Edgar Osterhaus
Medicaid Provider in Lasalle, IL
Type
Individual Provider
Address
2424 Chartres Street
Lasalle, IL 613011107
Phone
8152236013
NPI
1427480177
Procedures
2
Total Claims
82
Patients Served
44
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 Filling | $55.41 | 62 | 27 |
| Dental Cleaning & Exam | $17.48 | 20 | 17 |
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