Based on public Medicaid payment data.
David Dwight Domenella
Medicaid Provider in Richmond, IL
Type
Individual Provider
Address
9716 Us Highway 12
Richmond, IL 600719253
Phone
8156782800
NPI
1427217918
Procedures
1
Total Claims
791
Patients Served
770
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 | $33.73 | 791 | 770 |
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