Based on public Medicaid payment data.
Diego Alberto Gallardo
Medicaid Provider in Guaynabo, PR
Type
Individual Provider
Address
Suite 201, Guaynabo Radiology & Medical Plaza
Guaynabo, PR 00969
Phone
7872337267
NPI
1003104464
Procedures
2
Total Claims
605
Patients Served
375
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 |
|---|---|---|---|
| Tooth Extraction | $220.62 | 309 | 97 |
| Dental Cleaning & Exam | $27.03 | 296 | 278 |
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