Based on public Medicaid payment data.
Elda I. Montalvo Olvera
Medicaid Provider in Sabana Grande, PR
Type
Individual Provider
Address
34 Calle Betances
Sabana Grande, PR 006370656
Phone
7878734485
NPI
1588792857
Procedures
3
Total Claims
9K
Patients Served
7.6K
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 | $19.18 | 8,005 | 6,939 |
| Dental Filling | $27.46 | 611 | 388 |
| Tooth Extraction | $46.02 | 351 | 265 |
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