Based on public Medicaid payment data.
Mariely Nicole Ortiz
Medicaid Provider in Patillas, PR
Type
Individual Provider
Address
Calle Guillermo Rieskohl
Patillas, PR 007230697
Phone
7878394320
NPI
1760861769
Procedures
2
Total Claims
433
Patients Served
382
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 | $14.45 | 399 | 356 |
| Tooth Extraction | $7.06 | 34 | 26 |
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