Based on public Medicaid payment data.
Diba Dastajerdi Dmd Pc
Medicaid Provider in Boston, MA
Type
Organization
Address
68 New Edgerly Rd
Boston, MA 021153503
Phone
6172625880
NPI
1952703480
Procedures
5
Total Claims
44.6K
Patients Served
38.7K
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 | $42.57 | 31,619 | 30,998 |
| Dental Filling | $87.65 | 10,045 | 6,074 |
| Dental Crown | $689.29 | 1,920 | 1,099 |
| Tooth Extraction | $94.29 | 889 | 501 |
| Root Canal | $574.42 | 95 | 77 |
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