Based on public Medicaid payment data.
Luis Loretto Cuellar
Medicaid Provider in Valparaiso, IN
Type
Individual Provider
Address
2005 Roosevelt Rd
Valparaiso, IN 463832746
Phone
2195319293
NPI
1053470104
Procedures
2
Total Claims
43
Patients Served
24
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 Filling | $96.17 | 25 | 12 |
| Dental Cleaning & Exam | $10.29 | 18 | 12 |
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