Based on public Medicaid payment data.
Theresa Pham
Medicaid Provider in Palos Heights, IL
Type
Individual Provider
Address
12001 S Harlem Ave
Palos Heights, IL 604631139
Phone
7084486700
NPI
1053694828
Procedures
3
Total Claims
23.5K
Patients Served
22.5K
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 | $33.12 | 19,958 | 19,636 |
| Dental Filling | $58.33 | 3,059 | 2,500 |
| Tooth Extraction | $53.84 | 480 | 401 |
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