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Based on public Medicaid payment data.

Gilberto Lopez

Medicaid Provider in Fort Smith, AR

Type

Individual Provider

Address

1021 South 21St St

Fort Smith, AR 729014007

Phone

4794344277

NPI

1245392653

Procedures

1

Total Claims

4.3K

Patients Served

4K

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 $33.14 4,255 4,044

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