Based on public Medicaid payment data.
Jose Ricardo Burgos Polo
Medicaid Provider in Dade City, FL
Type
Individual Provider
Address
37944 Pasco Ave
Dade City, FL 335254202
Phone
3525182000
NPI
1013903996
Procedures
2
Total Claims
791
Patients Served
739
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 | $11.84 | 754 | 714 |
| Dental Filling | $40.43 | 37 | 25 |
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