Based on public Medicaid payment data.
Alexander Nicholas Lopez
Medicaid Provider in Rockford, IL
Type
Individual Provider
Address
6050 Brynwood Dr
Rockford, IL 611146579
Phone
8152015955
NPI
1932835436
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Root Canal | $349.26 | 12 | 12 |
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