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Based on public Medicaid payment data.

Alexandra Bacon Smith

Medicaid Provider in Springfield, IL

Type

Individual Provider

Address

2965 S Macarthur Blvd Ste A

Springfield, IL 627045087

Phone

2176981717

NPI

1215374277

Procedures

3

Total Claims

2.1K

Patients Served

1.7K

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 $29.57 1,352 1,283
Dental Filling $58.52 512 304
Tooth Extraction $37.30 248 113

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