Based on public Medicaid payment data.
Aishwarya Indiramohan
Medicaid Provider in Springfield, IL
Type
Individual Provider
Address
802 N 9Th St
Springfield, IL 627026309
Phone
8889884066
NPI
1881949592
Procedures
4
Total Claims
3K
Patients Served
2.8K
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 | $32.86 | 2,903 | 2,787 |
| Dental Filling | $74.14 | 42 | 27 |
| Tooth Extraction | $51.25 | 25 | 12 |
| Root Canal | $84.05 | 20 | 12 |
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