Based on public Medicaid payment data.
Kenia De La C Lopez
Medicaid Provider in Lake Worth, FL
Type
Individual Provider
Address
1300 N Federal Hwy
Lake Worth, FL 33460
Phone
5615401040
NPI
1992938328
Procedures
3
Total Claims
481
Patients Served
325
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 Filling | $19.46 | 313 | 164 |
| Dental Cleaning & Exam | $31.45 | 149 | 149 |
| Tooth Extraction | $4.30 | 19 | 12 |
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