Based on public Medicaid payment data.
Edwin Gonzalez Montoya
Medicaid Provider in Rockford, IL
Type
Individual Provider
Address
6585 E State St
Rockford, IL 611082542
Phone
7875879675
NPI
1396255097
Procedures
2
Total Claims
20.4K
Patients Served
13.5K
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 |
|---|---|---|---|
| Tooth Extraction | $298.87 | 15,757 | 9,079 |
| Dental Cleaning & Exam | $43.48 | 4,636 | 4,466 |
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