HENRY L. JOLLY, JR., D.M.D., P.C.
NPI: 1851423941
· GAFFNEY, SC 29340
· 1223G0001X
$678K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,481 |
$101K |
| 2019 |
3,292 |
$95K |
| 2020 |
2,344 |
$64K |
| 2021 |
3,309 |
$101K |
| 2022 |
3,255 |
$102K |
| 2023 |
3,231 |
$93K |
| 2024 |
3,196 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,082 |
3,082 |
$153K |
| D0120 |
|
5,268 |
5,268 |
$122K |
| D1208 |
|
4,938 |
4,938 |
$81K |
| D1120 |
|
2,023 |
2,023 |
$71K |
| D0330 |
|
1,308 |
1,308 |
$66K |
| D0272 |
|
3,152 |
3,152 |
$60K |
| D0140 |
|
1,018 |
1,012 |
$37K |
| D2391 |
|
304 |
154 |
$31K |
| D7140 |
|
376 |
226 |
$29K |
| D2392 |
|
140 |
88 |
$15K |
| D0274 |
|
441 |
441 |
$13K |
| D0150 |
|
43 |
43 |
$2K |
| D0220 |
|
15 |
15 |
$172.05 |