Based on public Medicaid payment data.
Taha Mirza
Medicaid Provider in Rockford, IL
Type
Individual Provider
Address
845 S Perryville Rd
Rockford, IL 611084340
Phone
7794232135
NPI
1982198354
Procedures
3
Total Claims
18.2K
Patients Served
16.9K
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 | $31.50 | 15,912 | 15,311 |
| Tooth Extraction | $99.05 | 2,268 | 1,549 |
| Dental Filling | $54.82 | 65 | 55 |
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