Based on public Medicaid payment data.
Federico Augusto Souffront
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
1511 Calle Loiza
San Juan, PR 009111846
Phone
7877286980
NPI
1992810113
Procedures
4
Total Claims
18.3K
Patients Served
13.5K
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 | $19.47 | 10,044 | 8,682 |
| Tooth Extraction | $53.40 | 6,277 | 3,557 |
| Dental Filling | $31.13 | 1,974 | 1,201 |
| Root Canal | $137.80 | 20 | 14 |
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