Based on public Medicaid payment data.
Liset Beltran
Medicaid Provider in Melrose Park, IL
Type
Individual Provider
Address
1812 Broadway St
Melrose Park, IL 601602039
Phone
7084984410
NPI
1841585791
Procedures
4
Total Claims
16K
Patients Served
14.6K
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 | $32.93 | 13,496 | 13,085 |
| Dental Filling | $55.98 | 1,710 | 980 |
| Root Canal | $64.92 | 401 | 274 |
| Tooth Extraction | $48.72 | 358 | 215 |
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