Based on public Medicaid payment data.
Ivetta S Daccache
Medicaid Provider in Pekin, IL
Type
Individual Provider
Address
725 S 14Th St
Pekin, IL 615545073
Phone
3093536660
NPI
1790772143
Procedures
1
Total Claims
208
Patients Served
207
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 |
|---|---|---|---|
| Eye Exam | $25.99 | 208 | 207 |
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