Based on public Medicaid payment data.
Jack Louie
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
110 Stuart St Unit 18A
Boston, MA 021165668
Phone
9012583188
NPI
1487901740
Procedures
2
Total Claims
465
Patients Served
455
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 | $39.70 | 422 | 422 |
| Dental Filling | $109.77 | 43 | 33 |
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