Based on public Medicaid payment data.
Kehinde John Fasanya
Medicaid Provider in Rockford, IL
Type
Individual Provider
Address
6215 E State St
Rockford, IL 611082514
Phone
9208381649
NPI
1184939076
Procedures
3
Total Claims
9K
Patients Served
7.4K
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 | $27.99 | 6,429 | 6,166 |
| Dental Filling | $51.08 | 1,303 | 682 |
| Tooth Extraction | $42.67 | 1,286 | 558 |
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