Based on public Medicaid payment data.
Armin Boutehsaz
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
1253 W Pratt St
Baltimore, MD 212232684
Phone
4107274746
NPI
1073009767
Procedures
5
Total Claims
30K
Patients Served
25.5K
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 | $44.36 | 19,527 | 19,177 |
| Dental Filling | $142.45 | 5,692 | 3,560 |
| Tooth Extraction | $119.49 | 1,744 | 712 |
| Dental Crown | $483.38 | 1,702 | 1,040 |
| Root Canal | $654.86 | 1,365 | 1,039 |
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