Based on public Medicaid payment data.
Blake Kunimoto
Medicaid Provider in Springfield, IL
Type
Individual Provider
Address
3124 Montvale Dr
Springfield, IL 627046937
Phone
2175468777
NPI
1205056207
Procedures
5
Total Claims
24.6K
Patients Served
23.6K
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 | $45.81 | 22,441 | 22,382 |
| Tooth Extraction | $93.07 | 873 | 502 |
| Dental Filling | $57.09 | 552 | 279 |
| Dental Crown | $467.95 | 414 | 247 |
| Root Canal | $401.25 | 298 | 219 |
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