JOHN S ROSE DMD PC
NPI: 1215679444
· TALLASSEE, AL 36078
· Dental Clinic/Center
· NPI assigned 04/08/2022
$308.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROSE, JOHN (PRESIDENT) |
| NPI Enumeration Date | 04/08/2022 |
Related Entities
Other providers sharing the same authorized official: ROSE, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
14 |
$308.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$308.00 |