Based on public Medicaid payment data.
Breanna Richelle Henley
Medicaid Provider in Columbia, SC
Type
Individual Provider
Address
3026 Farrow Rd
Columbia, SC 292037002
Phone
8035671804
NPI
1578132189
Procedures
3
Total Claims
520
Patients Served
508
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 | $38.12 | 480 | 479 |
| Tooth Extraction | $87.95 | 24 | 15 |
| Dental Filling | $89.53 | 16 | 14 |
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