Based on public Medicaid payment data.
Hidayathulla Khan
Medicaid Provider in Lombard, IL
Type
Individual Provider
Address
121 E Roosevelt Rd
Lombard, IL 601484561
Phone
2247669876
NPI
1699128082
Procedures
3
Total Claims
51.4K
Patients Served
42.5K
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 | $29.06 | 35,203 | 33,313 |
| Dental Filling | $75.54 | 11,587 | 6,723 |
| Tooth Extraction | $107.82 | 4,640 | 2,495 |
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