Based on public Medicaid payment data.
Jonathan L Gifford
Medicaid Provider in Mount Prospect, IL
Type
Individual Provider
Address
435 W Prospect Ave
Mount Prospect, IL 600563031
Phone
8472559690
NPI
1003187956
Procedures
3
Total Claims
6.5K
Patients Served
6.1K
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 | $31.06 | 6,223 | 5,886 |
| Dental Filling | $52.75 | 199 | 126 |
| Tooth Extraction | $42.50 | 81 | 42 |
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