Based on public Medicaid payment data.
Matthew Li
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
333 Warren St
Boston, MA 021191850
Phone
6174274242
NPI
1164116265
Procedures
5
Total Claims
4.9K
Patients Served
4.4K
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 | $44.11 | 3,745 | 3,679 |
| Dental Filling | $79.55 | 901 | 559 |
| Tooth Extraction | $73.59 | 133 | 70 |
| Dental Crown | $687.90 | 123 | 92 |
| Root Canal | $829.00 | 12 | 12 |
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