Based on public Medicaid payment data.
Samer Moustafa Tahoun
Medicaid Provider in Indian Orchard, MA
Type
Individual Provider
Address
439 Main St Ste A
Indian Orchard, MA 011511239
Phone
4135431202
NPI
1235343971
Procedures
4
Total Claims
24.8K
Patients Served
22K
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 | $38.54 | 20,520 | 19,526 |
| Dental Filling | $61.62 | 2,789 | 1,629 |
| Dental Crown | $685.72 | 1,346 | 748 |
| Tooth Extraction | $65.63 | 160 | 66 |
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