Based on public Medicaid payment data.
Joachim Ajala
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
7310 N Villa Lake Dr
Peoria, IL 616148267
Phone
3096919072
NPI
1619094166
Procedures
3
Total Claims
1.3K
Patients Served
1.1K
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 | $27.02 | 969 | 967 |
| Dental Filling | $58.19 | 194 | 118 |
| Tooth Extraction | $62.01 | 135 | 29 |
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