GADSDEN FAMILY DENTISTRY, LLC
NPI: 1154992055
· GADSDEN, AL 35901
· Dental Clinic/Center
· NPI assigned 07/02/2021
$980.15
Total Medicaid Paid
Provider Details
| Authorized Official | DODSON, LASHEA (INSURANCE DEPARTMENT MANAGER) |
| NPI Enumeration Date | 07/02/2021 |
Related Entities
Other providers sharing the same authorized official: DODSON, LASHEA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
36 |
$580.00 |
| 2023 |
39 |
$400.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
58 |
40 |
$830.00 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
12 |
$150.15 |