ALEXANDRA DENTAL LLC
NPI: 1194227090
· ALEXANDRIA, AL 36250
· Dental Clinic/Center
· NPI assigned 03/06/2018
Provider Details
| Authorized Official | HAYNIE, BRANT (DENTIST) |
| NPI Enumeration Date | 03/06/2018 |
Related Entities
Other providers sharing the same authorized official: HAYNIE, BRANT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$415.00 |
| 2021 |
27 |
$402.60 |
| 2023 |
37 |
$440.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
28 |
24 |
$855.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$237.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$165.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
22 |
13 |
$0.00 |