ADAMS SOUTHERN DENTAL ARTS, LLC
NPI: 1114594934
· HOMEWOOD, AL 35209
· General Practice Dentistry
· NPI assigned 06/09/2021
$615.85
Total Medicaid Paid
Provider Details
| Authorized Official | ADAMS, PRESTON (DENTIST) |
| NPI Enumeration Date | 06/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
27 |
$615.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$395.85 |
| D1999 |
|
13 |
12 |
$220.00 |