Based on public Medicaid payment data.
Stephanie Aileen Calo De La Torre
Medicaid Provider in San Juan, PR
Type
Individual Provider
Address
Urb. Altamesa
San Juan, PR 00921
Phone
7877677148
NPI
1548728322
Procedures
1
Total Claims
259
Patients Served
242
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 | $22.50 | 259 | 242 |
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