Based on public Medicaid payment data.
Cr Diaz Bonilla Dentista Pediatrica Psc
Medicaid Provider in Aibonito, PR
Type
Organization
Address
51 Ave San Jose
Aibonito, PR 00705
Phone
7877350575
NPI
1255707568
Procedures
3
Total Claims
723
Patients Served
416
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 | $13.75 | 615 | 375 |
| Tooth Extraction | $22.50 | 68 | 27 |
| Dental Filling | $22.68 | 40 | 14 |
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