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Based on public Medicaid payment data.

Kyle E Pedersen

Medicaid Provider in St Charles, IL

Type

Individual Provider

Address

2560 Foxfield Rd

St Charles, IL 601745797

Phone

6305874444

NPI

1619092905

Procedures

4

Total Claims

37.4K

Patients Served

33.2K

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 $29.36 32,128 30,073
Dental Filling $69.30 3,751 2,369
Tooth Extraction $78.65 1,361 690
Root Canal $48.03 182 67

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