Based on public Medicaid payment data.
Ileana Fernandez
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
430 Calle San Claudio
San Juan, PR 009264222
Phone
7877610888
NPI
1215032008
Procedures
1
Total Claims
142
Patients Served
142
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 | $22.28 | 142 | 142 |
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