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Based on public Medicaid payment data.

Luis A Gonzalez

Medicaid Provider in Ponce, PR

Type

Individual Provider

Address

Santa Maria Office Bldg Suite 222 Calle Ferrocuri 450

Ponce, PR 007171105

Phone

7878401708

NPI

1689732950

Procedures

2

Total Claims

3.4K

Patients Served

3.1K

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 $22.02 3,377 3,081
Dental Filling $74.09 20 12

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