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Based on public Medicaid payment data.

Luis Enrique Betances Rahola

Medicaid Provider in Carolina, PR

Type

Individual Provider

Address

Cond Condesa Del Mar # 3103

Carolina, PR 009794900

Phone

7879082992

NPI

1063479616

Procedures

3

Total Claims

764

Patients Served

643

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 $18.67 634 573
Dental Filling $21.32 108 56
Tooth Extraction $22.50 22 14

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