Based on public Medicaid payment data.
Zaida Liliana Nieves Lopez
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
125 Sw Military Dr
San Antonio, TX 782211650
Phone
2109223483
NPI
1114563590
Procedures
4
Total Claims
17K
Patients Served
16.5K
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 | $39.61 | 16,022 | 15,801 |
| Dental Filling | $85.60 | 609 | 398 |
| Tooth Extraction | $40.43 | 310 | 192 |
| Root Canal | $80.61 | 86 | 62 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error