Based on public Medicaid payment data.
Kathy Jo Shafer
Medicaid Provider in Litchfield, IL
Type
Individual Provider
Address
3162 Traylor Trl
Litchfield, IL 620564559
Phone
2176225137
NPI
1750499729
Procedures
5
Total Claims
59.7K
Patients Served
48.2K
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 | $28.29 | 31,815 | 29,484 |
| Tooth Extraction | $75.36 | 13,760 | 7,297 |
| Dental Filling | $74.47 | 12,810 | 10,275 |
| Root Canal | $315.46 | 770 | 693 |
| Dental Crown | $442.28 | 531 | 417 |
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