Based on public Medicaid payment data.
Roselle Cabana Lopez
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
7725 Gateway Unit 3328
Irvine, CA 926185849
Phone
9095103524
NPI
1194916452
Procedures
1
Total Claims
100
Patients Served
100
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 | $58.60 | 100 | 100 |
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