Based on public Medicaid payment data.
David A Boone
Medicaid Provider in Grand Rapids, MI
Type
Individual Provider
Address
1525 E Beltline Ave Ne
Grand Rapids, MI 495254598
Phone
6163616161
NPI
1528155025
Procedures
4
Total Claims
6.1K
Patients Served
5.7K
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 | $35.76 | 4,454 | 4,452 |
| Dental Filling | $73.83 | 1,532 | 1,140 |
| Tooth Extraction | $84.38 | 68 | 50 |
| Root Canal | $115.00 | 18 | 16 |
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