Based on public Medicaid payment data.
Imran Chitalwalla
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
951 Tremont St
Boston, MA 021202210
Phone
6177081686
NPI
1083029102
Procedures
4
Total Claims
16.7K
Patients Served
15.3K
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 | $39.19 | 14,539 | 14,048 |
| Dental Filling | $75.19 | 1,701 | 1,032 |
| Tooth Extraction | $125.01 | 301 | 173 |
| Dental Crown | $595.52 | 134 | 96 |
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