Based on public Medicaid payment data.
Ji Ma
Medicaid Provider in Moline, IL
Type
Individual Provider
Address
4601 16Th St Unit 12
Moline, IL 612657000
Phone
3092920942
NPI
1891117198
Procedures
4
Total Claims
74.7K
Patients Served
57.8K
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 | $37.12 | 46,326 | 44,392 |
| Tooth Extraction | $107.99 | 17,285 | 6,980 |
| Dental Filling | $106.56 | 10,992 | 6,390 |
| Root Canal | $218.48 | 88 | 66 |
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