Based on public Medicaid payment data.
Gonzalo Romo De Miguel
Medicaid Provider in Berlin, CT
Type
Individual Provider
Address
5 Webster Square Rd
Berlin, CT 060372326
Phone
8608283559
NPI
1669761250
Procedures
2
Total Claims
934
Patients Served
603
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 |
|---|---|---|---|
| Tooth Extraction | $122.93 | 596 | 285 |
| Dental Cleaning & Exam | $28.10 | 338 | 318 |
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