Based on public Medicaid payment data.
Elvis N Gracia
Medicaid Provider in Manati, PR
Type
Individual Provider
Address
B38 Calle Elliot Velez
Manati, PR 006744615
Phone
7878845015
NPI
1770651168
Procedures
3
Total Claims
15.1K
Patients Served
11.8K
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 | $22.61 | 11,778 | 10,121 |
| Tooth Extraction | $43.18 | 1,691 | 1,010 |
| Dental Filling | $33.92 | 1,635 | 702 |
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