Based on public Medicaid payment data.
Luis A Capo
Medicaid Provider in Carolina, PR
Type
Individual Provider
Address
Villa Carolina
Carolina, PR 00985
Phone
7872577920
NPI
1982775920
Procedures
3
Total Claims
2K
Patients Served
1.5K
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 | $15.95 | 1,459 | 1,234 |
| Dental Filling | $21.95 | 487 | 261 |
| Tooth Extraction | $21.68 | 59 | 42 |
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