Based on public Medicaid payment data.
Tommy John Castillo Sagadraca
Medicaid Provider in Machesney Park, IL
Type
Individual Provider
Address
1564 W Lane Rd
Machesney Park, IL 611151903
Phone
7797716763
NPI
1215387113
Procedures
1
Total Claims
172
Patients Served
171
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 | $32.29 | 172 | 171 |
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