Based on public Medicaid payment data.
Edward W. Boehm
Medicaid Provider in Passaic, NJ
Type
Individual Provider
Address
112 Lexington Ave
Passaic, NJ 070555244
Phone
9737776688
NPI
1942355813
Procedures
4
Total Claims
29.4K
Patients Served
25K
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 | $19.18 | 16,971 | 16,923 |
| Dental Filling | $40.15 | 11,949 | 7,691 |
| Tooth Extraction | $32.47 | 496 | 325 |
| Dental Crown | $273.00 | 12 | 12 |
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