Based on public Medicaid payment data.
Dionne Nicole Henderson
Medicaid Provider in South Holland, IL
Type
Individual Provider
Address
605 E 170Th St
South Holland, IL 604733408
Phone
7088930368
NPI
1053422758
Procedures
3
Total Claims
4.4K
Patients Served
3.8K
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 | $38.23 | 3,296 | 3,291 |
| Dental Filling | $113.02 | 1,104 | 497 |
| Tooth Extraction | $88.00 | 20 | 17 |
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