Based on public Medicaid payment data.
J Restituyo-Rosario, Llc
Medicaid Provider in Carolina, PR
Type
Organization
Address
143-3 Calle 401
Carolina, PR 009854022
Phone
7872005542
NPI
1851849210
Procedures
2
Total Claims
115
Patients Served
93
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 | $34.29 | 98 | 80 |
| Tooth Extraction | $59.82 | 17 | 13 |
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