Based on public Medicaid payment data.
Lucian Dan Boboia
Medicaid Provider in Fort Wayne, IN
Type
Individual Provider
Address
3030 Lake Ave Ste 15
Fort Wayne, IN 468055428
Phone
5129029997
NPI
1215004783
Procedures
4
Total Claims
826
Patients Served
710
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 | $45.48 | 649 | 643 |
| Tooth Extraction | $51.15 | 111 | 38 |
| Root Canal | $68.11 | 41 | 17 |
| Dental Filling | $95.22 | 25 | 12 |
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