Based on public Medicaid payment data.
Isabel Liranza Dominguez
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
1057 Calle William Jones
San Juan, PR 009253832
Phone
7877648696
NPI
1265613798
Procedures
3
Total Claims
7K
Patients Served
5.4K
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 | $20.25 | 5,313 | 4,570 |
| Tooth Extraction | $38.15 | 1,694 | 833 |
| Dental Filling | $40.33 | 14 | 14 |
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