Based on public Medicaid payment data.
Bassel Boulos
Medicaid Provider in Roxbury, MA
Type
Individual Provider
Address
1290 Tremont St
Roxbury, MA 021203432
Phone
6174271000
NPI
1467902155
Procedures
4
Total Claims
27K
Patients Served
24.4K
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 | $37.04 | 21,890 | 21,057 |
| Dental Filling | $100.22 | 4,775 | 3,090 |
| Tooth Extraction | $94.05 | 293 | 172 |
| Root Canal | $114.20 | 82 | 66 |
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