Based on public Medicaid payment data.
Payman Shokoohi
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
770 Tremont St
Boston, MA 021181106
Phone
4695699940
NPI
1679735633
Procedures
4
Total Claims
78.6K
Patients Served
61K
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 | $42.83 | 40,883 | 39,707 |
| Dental Filling | $135.85 | 31,102 | 17,647 |
| Tooth Extraction | $97.74 | 3,828 | 2,123 |
| Root Canal | $100.86 | 2,825 | 1,532 |
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