Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › ATHENS › SRD ATHENS, PLLC

SRD ATHENS, PLLC

NPI: 1053029116 · ATHENS, AL 35613 · Dentist · NPI assigned 11/08/2022

$12K
Total Medicaid Paid
688
Total Claims
476
Beneficiaries
6
Codes Billed
2023-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHIELDS, CHRISTYN (CONTROLLER)
NPI Enumeration Date11/08/2022

Related Entities

Other providers sharing the same authorized official: SHIELDS, CHRISTYN

ProviderCityStateTotal Paid
SINGING RIVER DENTISTRY TREEHOUSE, LLC MADISON AL $2.17M
TH TUSCUMBIA PLLC TUSCUMBIA AL $1.34M
SRD RUSSELLVILLE PLLC RUSSELLVILLE AL $281K
SRD MUSCLE SHOALS PLLC MUSCLE SHOALS AL $35K
SRD TUSCUMBIA PLLC TUSCUMBIA AL $16K
SRD FLORENCE, PLLC FLORENCE AL $680.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 373 $5K
2024 315 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 270 177 $4K
D0150 Comprehensive oral evaluation - new or established patient 167 92 $3K
D1120 Prophylaxis - child 82 81 $2K
D1110 Prophylaxis - adult 54 41 $1K
D0120 Periodic oral evaluation - established patient 65 60 $1K
D0330 Panoramic radiographic image 50 25 $993.75