Based on public Medicaid payment data.
George D Di Tola
Medicaid Provider in Melrose Park, IL
Type
Individual Provider
Address
3521 W Lake St
Melrose Park, IL 60160
Phone
7088651214
NPI
1770740565
Procedures
3
Total Claims
12.5K
Patients Served
11.8K
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 | $32.43 | 11,417 | 10,988 |
| Dental Filling | $52.26 | 956 | 766 |
| Tooth Extraction | $61.24 | 148 | 88 |
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