Based on public Medicaid payment data.
Jorge Andres Rodriguez
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
359 Boylston St
Boston, MA 021163304
Phone
6172621422
NPI
1447429733
Procedures
4
Total Claims
3.4K
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 | $39.80 | 1,800 | 1,749 |
| Dental Filling | $65.69 | 1,337 | 491 |
| Dental Crown | $709.52 | 244 | 127 |
| Tooth Extraction | $79.60 | 25 | 15 |
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