Based on public Medicaid payment data.
Sangin Lim
Medicaid Provider in Moline, IL
Type
Individual Provider
Address
1102 4Th Ave
Moline, IL 612651231
Phone
8889884066
NPI
1417564188
Procedures
3
Total Claims
14.2K
Patients Served
14K
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 | $33.33 | 13,427 | 13,331 |
| Dental Filling | $59.13 | 484 | 384 |
| Tooth Extraction | $69.08 | 328 | 252 |
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