SRD MUSCLE SHOALS PLLC

NPI: 1316678592 · MUSCLE SHOALS, AL 35661 · General Practice Dentistry · NPI assigned 06/20/2022

$35K

Total Medicaid Paid

1,693

Total Claims

1,392

Beneficiaries

Codes Billed

2023-05

First Month

2024-12

Last Month

Provider Details

Authorized Official	SHIELDS, CHRISTYN (CONTROLLER)
NPI Enumeration Date	06/20/2022

Other providers sharing the same authorized official: SHIELDS, CHRISTYN

Provider	City	State	Total Paid
SINGING RIVER DENTISTRY TREEHOUSE, LLC	MADISON	AL	$2.17M
TH TUSCUMBIA PLLC	TUSCUMBIA	AL	$1.34M
SRD RUSSELLVILLE PLLC	RUSSELLVILLE	AL	$281K
SRD TUSCUMBIA PLLC	TUSCUMBIA	AL	$16K
SRD ATHENS, PLLC	ATHENS	AL	$12K
SRD FLORENCE, PLLC	FLORENCE	AL	$680.00

Year	Claims	Total Paid
2023	992	$19K
2024	701	$17K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	350	302	$11K
D0120	Periodic oral evaluation - established patient	445	371	$7K
D1206	Topical application of fluoride varnish	348	276	$6K
D0330	Panoramic radiographic image	107	95	$4K
D0274	Bitewings - four radiographic images	224	183	$3K
D1208	Topical application of fluoride, excluding varnish	93	86	$1K
D1120	Prophylaxis - child	28	28	$823.20
D0150	Comprehensive oral evaluation - new or established patient	15	13	$393.60
D0272	Bitewings - two radiographic images	14	14	$264.60
D1999		69	24	$120.00