Based on public Medicaid payment data.
Carlos Alfonso Lopez Diaz
Medicaid Provider in Temecula, CA
Type
Individual Provider
Address
31843 Rancho California Rd Ste 300
Temecula, CA 925915120
Phone
9516762613
NPI
1467978262
Procedures
3
Total Claims
8.2K
Patients Served
6.1K
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 | $63.33 | 4,241 | 4,229 |
| Dental Filling | $65.11 | 3,913 | 1,904 |
| Dental Crown | $476.00 | 21 | 13 |
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