Based on public Medicaid payment data.
Rocio C Escobar Bustamante
Medicaid Provider in Aiea, HI
Type
Individual Provider
Address
98-211 Pali Momi St Ste 715
Aiea, HI 967014339
Phone
8084372277
NPI
1366006223
Procedures
1
Total Claims
14
Patients Served
14
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 | $29.12 | 14 | 14 |
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