Based on public Medicaid payment data.
Miguel Angel Garcia Lopez
Medicaid Provider in Maplewood, MN
Type
Individual Provider
Address
1670 Beam Ave Ste 204
Maplewood, MN 551091227
Phone
6519258400
NPI
1881434496
Procedures
3
Total Claims
1.1K
Patients Served
995
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 | $49.93 | 686 | 682 |
| Dental Filling | $104.63 | 352 | 256 |
| Tooth Extraction | $115.22 | 80 | 57 |
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