Based on public Medicaid payment data.
Teodoro Lopez Rivera
Medicaid Provider in Ponce, PR
Type
Individual Provider
Address
Edificio Clausells 129 Calle Villa
Ponce, PR 00730
Phone
7878441880
NPI
1487650164
Procedures
3
Total Claims
6.1K
Patients Served
4.2K
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 | $14.33 | 4,148 | 3,193 |
| Dental Filling | $24.83 | 1,224 | 638 |
| Tooth Extraction | $25.51 | 699 | 394 |
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