Based on public Medicaid payment data.
Jannelly Restituyo Rosario
Medicaid Provider in Carolina, PR
Type
Individual Provider
Address
143-3 Calle 401
Carolina, PR 009854022
Phone
7872005542
NPI
1528304425
Procedures
2
Total Claims
624
Patients Served
459
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 | $33.72 | 334 | 290 |
| Tooth Extraction | $66.49 | 290 | 169 |
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