Based on public Medicaid payment data.
Jose Disla Pena
Medicaid Provider in Santurce, PR
Type
Individual Provider
Address
185 Calle Delbrey
Santurce, PR 00911
Phone
7877251703
NPI
1215006648
Procedures
1
Total Claims
220
Patients Served
215
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 | $20.60 | 220 | 215 |
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