Based on public Medicaid payment data.
Nicole Melissa Rivera
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
Via Cordillera F26
San Juan, PR 009248231
Phone
7875052831
NPI
1891030292
Procedures
2
Total Claims
1.4K
Patients Served
1.2K
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 | $29.06 | 1,160 | 1,160 |
| Dental Filling | $80.45 | 227 | 85 |
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