Based on public Medicaid payment data.
Cody Wong
Medicaid Provider in Park Ridge, IL
Type
Individual Provider
Address
1600 Dempster St Ste 101
Park Ridge, IL 600681171
Phone
8472984436
NPI
1659912632
Procedures
2
Total Claims
499
Patients Served
484
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 | $30.04 | 464 | 460 |
| Dental Filling | $86.04 | 35 | 24 |
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