Based on public Medicaid payment data.
Lisa Maria Montalvo
Medicaid Provider in Mayaguez, PR
Type
Individual Provider
Address
254 Calle Nelson Ramirez
Mayaguez, PR 006825846
Phone
7874642441
NPI
1972678001
Procedures
2
Total Claims
207
Patients Served
197
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 | $17.19 | 181 | 181 |
| Dental Filling | $23.22 | 26 | 16 |
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