SRD FLORENCE, PLLC
NPI: 1225769409
· FLORENCE, AL 35630
· General Practice Dentistry
· NPI assigned 06/20/2022
$680.00
Total Medicaid Paid
Provider Details
| Authorized Official | SHIELDS, CHRISTYN (CONTROLLED) |
| NPI Enumeration Date | 06/20/2022 |
Related Entities
Other providers sharing the same authorized official: SHIELDS, CHRISTYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
29 |
$680.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
13 |
12 |
$400.00 |
| D0120 |
|
16 |
14 |
$280.00 |