Based on public Medicaid payment data.
Eddy Romero Matos
Medicaid Provider in Lisle, IL
Type
Individual Provider
Address
4518 Beau Monde Dr Apt 106
Lisle, IL 605321519
Phone
6309452901
NPI
1609368604
Procedures
1
Total Claims
58
Patients Served
58
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 | $15.92 | 58 | 58 |
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