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Based on public Medicaid payment data.

Jesus Antonio Mendez

Medicaid Provider in Boston, MA

Type

Individual Provider

Address

18 Haviland St Apt 33

Boston, MA 021152651

Phone

7865215494

NPI

1821735408

Procedures

4

Total Claims

2.6K

Patients Served

2.4K

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 $39.94 2,442 2,308
Dental Crown $622.97 79 52
Tooth Extraction $75.00 18 13
Dental Filling $90.07 15 12

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