Based on public Medicaid payment data.
Charlotte Sunaina Jakkula
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
1403 W Glen Ave
Peoria, IL 616144705
Phone
8889884066
NPI
1386161248
Procedures
4
Total Claims
47.3K
Patients Served
37.8K
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 | $32.10 | 30,474 | 29,069 |
| Dental Filling | $71.36 | 10,742 | 6,124 |
| Tooth Extraction | $64.80 | 6,085 | 2,553 |
| Dental Crown | $319.20 | 14 | 13 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error