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Based on public Medicaid payment data.

Daniel Edward Ketteman

Medicaid Provider in Quincy, IL

Type

Individual Provider

Address

3915 Maine St Ste 2

Quincy, IL 623055843

Phone

2172237600

NPI

1780858936

Procedures

5

Total Claims

6.7K

Patients Served

6.1K

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 $50.37 3,957 3,948
Dental Filling $142.88 1,379 1,226
Tooth Extraction $158.35 1,113 690
Root Canal $692.86 157 152
Dental Crown $741.93 49 47

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