Based on public Medicaid payment data.
Shaina Immaculee Henriquez
Medicaid Provider in Waltham, MA
Type
Individual Provider
Address
271 Waverley Oaks Rd Ste 101
Waltham, MA 024528475
Phone
7865064437
NPI
1043748254
Procedures
2
Total Claims
312
Patients Served
290
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 | $37.17 | 285 | 278 |
| Dental Filling | $47.22 | 27 | 12 |
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