Based on public Medicaid payment data.
Jonathan Lee Mims
Medicaid Provider in Spartanburg, SC
Type
Individual Provider
Address
371 Whitney Rd
Spartanburg, SC 293033143
Phone
8645150485
NPI
1639393846
Procedures
4
Total Claims
26.9K
Patients Served
10.1K
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 |
|---|---|---|---|
| Tooth Extraction | $74.81 | 19,111 | 2,988 |
| Dental Cleaning & Exam | $31.73 | 6,571 | 6,290 |
| Dental Filling | $68.33 | 1,160 | 732 |
| Dental Crown | $480.98 | 85 | 42 |
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