HALL FAMILY DENTISTRY LLC
NPI: 1255779070
· GUIN, AL 35563
· General Practice Dentistry
· NPI assigned 06/14/2013
$250.00
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, MARK (MEMEBER) |
| NPI Enumeration Date | 06/14/2013 |
Related Entities
Other providers sharing the same authorized official: HALL, MARK
| Provider | City | State | Total Paid |
|---|
| ORTHOCLINIC |
SOUTH CHARLESTON |
WV |
$14K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$250.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
12 |
$250.00 |