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Based on public Medicaid payment data.

Antonio Manuel Goncalves

Medicaid Provider in Providence, RI

Type

Individual Provider

Address

16 Bridge Street

Providence, RI 029034362

Phone

4018615600

NPI

1467506881

Procedures

1

Total Claims

2.9K

Patients Served

2.8K

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 $35.25 2,930 2,841

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