Based on public Medicaid payment data.
Pedro Noe Hernandez
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
885 Harrison Ave Apt 3
Boston, MA 021184073
Phone
7472269505
NPI
1134829450
Procedures
2
Total Claims
560
Patients Served
423
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 | $41.70 | 369 | 359 |
| Tooth Extraction | $144.63 | 191 | 64 |
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