Based on public Medicaid payment data.
Samy Wasfy Boulos
Medicaid Provider in Shoreview, MN
Type
Individual Provider
Address
470 Highway 96 W Ste 200
Shoreview, MN 551263214
Phone
6513666880
NPI
1275775348
Procedures
1
Total Claims
906
Patients Served
903
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 | $48.51 | 906 | 903 |
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