ANDERSON-ROBERTSON DMD PC
NPI: 1053732727
· MONTGOMERY, AL 36106
· Dentist
· NPI assigned 12/26/2013
$735.00
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, AMY (CO-OWNER) |
| NPI Enumeration Date | 12/26/2013 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
25 |
$735.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$495.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$240.00 |