Based on public Medicaid payment data.
Patricia Enid Irizarry
Medicaid Provider in Ponce, PR
Type
Individual Provider
Address
S1 Jard Fagot
Ponce, PR 007164048
Phone
7878403435
NPI
1700176609
Procedures
2
Total Claims
2.9K
Patients Served
2.4K
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 | $21.99 | 2,552 | 2,219 |
| Dental Filling | $29.08 | 309 | 216 |
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