Based on public Medicaid payment data.
Efrain Montanez
Medicaid Provider in Bayamon, PR
Type
Individual Provider
Address
167 Ave.
Bayamon, PR 00957
Phone
7872697900
NPI
1912039256
Procedures
3
Total Claims
4.6K
Patients Served
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 | $20.51 | 4,245 | 3,780 |
| Dental Filling | $23.85 | 295 | 193 |
| Tooth Extraction | $28.41 | 21 | 12 |
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