Based on public Medicaid payment data.
Graciela L Lopez
Medicaid Provider in Chula Vista, CA
Type
Individual Provider
Address
301 3Rd Ave
Chula Vista, CA 919103910
Phone
6194761444
NPI
1013086784
Procedures
3
Total Claims
6.1K
Patients Served
5K
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 | $66.74 | 3,703 | 3,695 |
| Dental Filling | $63.22 | 2,287 | 1,277 |
| Dental Crown | $473.77 | 79 | 57 |
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