Based on public Medicaid payment data.
Jacob Philip
Medicaid Provider in Springfield, IL
Type
Individual Provider
Address
802 N 9Th St
Springfield, IL 62702
Phone
8477011457
NPI
1407261852
Procedures
4
Total Claims
18.1K
Patients Served
15.7K
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 | $29.01 | 13,323 | 12,637 |
| Tooth Extraction | $73.40 | 2,500 | 1,415 |
| Dental Filling | $58.87 | 2,246 | 1,612 |
| Dental Crown | $310.25 | 72 | 58 |
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