Based on public Medicaid payment data.
Jason Michael Grinter
Medicaid Provider in Rockford, IL
Type
Individual Provider
Address
275 N Phelps Ave
Rockford, IL 611082434
Phone
8154848678
NPI
1255401899
Procedures
4
Total Claims
49K
Patients Served
46K
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 | $31.86 | 46,217 | 44,246 |
| Dental Filling | $72.33 | 1,731 | 1,100 |
| Tooth Extraction | $69.85 | 875 | 551 |
| Root Canal | $105.40 | 189 | 132 |
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