Based on public Medicaid payment data.
Daniela Mikie Koyama
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
817 Ave San Patricio
San Juan, PR 009211311
Phone
7877818058
NPI
1942227665
Procedures
2
Total Claims
3.6K
Patients Served
3.3K
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 | $24.91 | 3,503 | 3,187 |
| Dental Filling | $39.14 | 98 | 63 |
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