Based on public Medicaid payment data.
Raul Fernando Montilla
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
20 Calle Washington
San Juan, PR 009071531
Phone
7878880200
NPI
1750577136
Procedures
3
Total Claims
17.1K
Patients Served
14.6K
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 | $19.85 | 15,184 | 13,451 |
| Dental Filling | $31.32 | 1,841 | 1,118 |
| Tooth Extraction | $32.73 | 38 | 26 |
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