Based on public Medicaid payment data.
Go Gogo Foundation
Medicaid Provider in Ponce, PR
Type
Organization
Address
291 Calle Monterrey
Ponce, PR 007160376
Phone
7876517003
NPI
1831506344
Procedures
4
Total Claims
1.1K
Patients Served
1K
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 | $19.62 | 1,003 | 932 |
| Dental Filling | $48.78 | 82 | 57 |
| Tooth Extraction | $52.21 | 43 | 26 |
| Office Visit | $102.77 | 12 | 12 |
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