Based on public Medicaid payment data.
Saad Latif Soofi
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
3127 N University St
Peoria, IL 616041316
Phone
3096818888
NPI
1508357500
Procedures
4
Total Claims
8.6K
Patients Served
7K
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 | $28.17 | 5,365 | 5,018 |
| Dental Filling | $51.00 | 1,792 | 1,088 |
| Tooth Extraction | $71.35 | 1,456 | 826 |
| Dental Crown | $292.22 | 33 | 27 |
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