Based on public Medicaid payment data.
Mary Smoak Johnston
Medicaid Provider in Greenville, SC
Type
Individual Provider
Address
225 S Pleasantburg Dr
Greenville, SC 296072544
Phone
8642337737
NPI
1437450897
Procedures
3
Total Claims
8K
Patients Served
7.5K
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 | $34.15 | 6,311 | 6,311 |
| Dental Filling | $84.84 | 1,583 | 1,073 |
| Tooth Extraction | $72.03 | 139 | 96 |
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