Based on public Medicaid payment data.
Bonifacio Guillena
Medicaid Provider in St George, UT
Type
Individual Provider
Address
1404 Sunriver Pkwy Ste 125
St George, UT 847904824
Phone
4352566167
NPI
1225467293
Procedures
2
Total Claims
91
Patients Served
84
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 | $34.78 | 72 | 72 |
| Dental Filling | $166.78 | 19 | 12 |
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