Based on public Medicaid payment data.
Isamar Burgos Lopez
Medicaid Provider in Guayama, PR
Type
Individual Provider
Address
La Fuente Town Center 706 Marginal Suite 11122
Guayama, PR 00784
Phone
7878665227
NPI
1235497991
Procedures
3
Total Claims
7.3K
Patients Served
5.9K
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 | $20.09 | 6,152 | 5,367 |
| Dental Filling | $25.69 | 926 | 478 |
| Tooth Extraction | $24.17 | 182 | 103 |
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