Based on public Medicaid payment data.
Jami Davina Cokley
Medicaid Provider in Spartanburg, SC
Type
Individual Provider
Address
362 N Pine St
Spartanburg, SC 293021631
Phone
8643984185
NPI
1073951646
Procedures
3
Total Claims
4K
Patients Served
3.9K
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 | $33.81 | 3,714 | 3,714 |
| Dental Filling | $105.12 | 171 | 121 |
| Tooth Extraction | $85.43 | 85 | 44 |
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