Based on public Medicaid payment data.
Amrit Kaur Banipal
Medicaid Provider in Montgomery, IL
Type
Individual Provider
Address
20 Boulder Hill Pass
Montgomery, IL 605381951
Phone
6308965013
NPI
1366051237
Procedures
3
Total Claims
1.1K
Patients Served
1.1K
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 | $30.40 | 1,042 | 1,037 |
| Dental Filling | $61.69 | 64 | 57 |
| Tooth Extraction | $46.14 | 39 | 32 |
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