Based on public Medicaid payment data.
Maryam Hesami
Medicaid Provider in Boise, ID
Type
Individual Provider
Address
8744 W Fairview Ave
Boise, ID 837048207
Phone
2083223010
NPI
1134229784
Procedures
3
Total Claims
12.4K
Patients Served
12.2K
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 | $35.01 | 11,591 | 11,585 |
| Dental Filling | $63.52 | 691 | 540 |
| Tooth Extraction | $72.07 | 126 | 94 |
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