Based on public Medicaid payment data.
Abel David Lopez-Portillo
Medicaid Provider in Mansfield, TX
Type
Individual Provider
Address
3550 E Broad St
Mansfield, TX 760635633
Phone
6824004137
NPI
1578125688
Procedures
2
Total Claims
17.8K
Patients Served
15.7K
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 | $45.33 | 14,001 | 13,803 |
| Dental Filling | $92.83 | 3,841 | 1,870 |
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