Based on public Medicaid payment data.
Henry L. Jolly
Medicaid Provider in Gaffney, SC
Type
Individual Provider
Address
914 S Limestone St
Gaffney, SC 293402126
Phone
8644892221
NPI
1588690580
Procedures
3
Total Claims
12.3K
Patients Served
11.9K
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 | $33.61 | 11,434 | 11,428 |
| Dental Filling | $103.20 | 444 | 242 |
| Tooth Extraction | $76.95 | 376 | 226 |
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