Based on public Medicaid payment data.
Sergio Enrique Lopez
Medicaid Provider in Edinburg, TX
Type
Individual Provider
Address
1507 S Mccoll Rd
Edinburg, TX 785414265
Phone
9567204345
NPI
1154619088
Procedures
4
Total Claims
15K
Patients Served
14K
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 | $46.85 | 12,722 | 12,598 |
| Dental Filling | $81.54 | 1,682 | 1,147 |
| Tooth Extraction | $60.76 | 579 | 261 |
| Root Canal | $84.05 | 14 | 12 |
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