Based on public Medicaid payment data.
Patricia E. Lopez
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
7703 Floyd Drive - Dept. Oral & Maxillofacial Surgery
San Antonio, TX 782293900
Phone
2105673297
NPI
1699065383
Procedures
2
Total Claims
1K
Patients Served
651
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 |
|---|---|---|---|
| Tooth Extraction | $271.29 | 510 | 160 |
| Dental Cleaning & Exam | $15.49 | 497 | 491 |
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