Based on public Medicaid payment data.
Dalva I Rivera
Medicaid Provider in Hatillo, PR
Type
Individual Provider
Address
109 Ave Dr Susoni
Hatillo, PR 006591845
Phone
7872620196
NPI
1831152784
Procedures
2
Total Claims
1.2K
Patients Served
985
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 | $17.77 | 1,174 | 973 |
| Dental Filling | $34.67 | 36 | 12 |
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