Based on public Medicaid payment data.
Jose Ivan Maldonado
Medicaid Provider in Vega Alta, PR
Type
Individual Provider
Address
48 Calle Teodomiro Ramirez
Vega Alta, PR 006926518
Phone
7878832030
NPI
1104897479
Procedures
3
Total Claims
420
Patients Served
316
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 | $33.68 | 306 | 274 |
| Tooth Extraction | $58.38 | 68 | 29 |
| Dental Filling | $40.89 | 46 | 13 |
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