SPRINGHILL FAMILY DENTISTRY
NPI: 1518351170
· MOBILE, AL 36607
· General Practice Dentistry
· NPI assigned 03/22/2015
$982.40
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: UNDERWOOD, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$264.00 |
| 2021 |
74 |
$718.40 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1999 |
|
41 |
31 |
$380.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$264.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
15 |
$180.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
12 |
$158.40 |