Based on public Medicaid payment data.
Patricia Y Lopez
Medicaid Provider in Covina, CA
Type
Individual Provider
Address
675 S 2Nd Ave
Covina, CA 917233518
Phone
6269380195
NPI
1952591869
Procedures
2
Total Claims
2.2K
Patients Served
2K
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 | $60.22 | 1,859 | 1,840 |
| Dental Filling | $64.25 | 298 | 189 |
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