Based on public Medicaid payment data.
Michael Douglas Lopez
Medicaid Provider in La Follette, TN
Type
Individual Provider
Address
2257 Jacksboro Pike
La Follette, TN 377662904
Phone
4235624766
NPI
1720218167
Procedures
4
Total Claims
29.1K
Patients Served
23K
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 | $29.18 | 19,521 | 19,355 |
| Dental Filling | $66.55 | 8,580 | 2,964 |
| Tooth Extraction | $53.77 | 916 | 660 |
| Root Canal | $82.02 | 33 | 26 |
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