Based on public Medicaid payment data.
Four Molar Psc
Medicaid Provider in Guaynabo, PR
Type
Organization
Address
429 Calle Rey Luis
Guaynabo, PR 009693170
Phone
7877868540
NPI
1164814042
Procedures
2
Total Claims
1.8K
Patients Served
1.3K
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 | $81.94 | 997 | 532 |
| Dental Cleaning & Exam | $35.17 | 826 | 806 |
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