Based on public Medicaid payment data.
Shafaq Raafat Mustafa
Medicaid Provider in South Holland, IL
Type
Individual Provider
Address
16111 La Salle St
South Holland, IL 604732064
Phone
7083399999
NPI
1255321170
Procedures
2
Total Claims
11K
Patients Served
10.5K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $34.11 | 10,820 | 10,389 |
| Dental Filling | $69.69 | 188 | 144 |
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