Based on public Medicaid payment data.
Martin A Ruelas
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
10330 N Juliet Ct
Peoria, IL 616151199
Phone
3092438455
NPI
1528161320
Procedures
1
Total Claims
12
Patients Served
12
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 | $21.05 | 12 | 12 |
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