Based on public Medicaid payment data.
Jesus E Lopez
Medicaid Provider in Ponce, PR
Type
Individual Provider
Address
2637 Ave Las Americas
Ponce, PR 007172106
Phone
7872590136
NPI
1710047154
Procedures
1
Total Claims
3.6K
Patients Served
3.3K
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 | $22.30 | 3,607 | 3,320 |
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