Based on public Medicaid payment data.
Arturo J Lopez
Medicaid Provider in Ooltewah, TN
Type
Individual Provider
Address
5913 Main St
Ooltewah, TN 373637825
Phone
4233627962
NPI
1689764730
Procedures
3
Total Claims
24.6K
Patients Served
23.6K
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 | $31.17 | 22,494 | 22,139 |
| Dental Filling | $66.51 | 2,029 | 1,420 |
| Tooth Extraction | $66.29 | 44 | 25 |
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