Based on public Medicaid payment data.
Ismael Emmanuelli
Medicaid Provider in Juana Diaz, PR
Type
Individual Provider
Address
31 Calle Degetau
Juana Diaz, PR 007951649
Phone
7878373607
NPI
1225135023
Procedures
3
Total Claims
2K
Patients Served
1.2K
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 | $12.44 | 1,335 | 973 |
| Dental Filling | $21.62 | 621 | 250 |
| Tooth Extraction | $22.46 | 16 | 12 |
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