ROCK DENTAL ALABAMA PLLC
NPI: 1811623770
· HOOVER, AL 35244
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/25/2022
$981.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAKE, MARK (OWNER) |
| NPI Enumeration Date | 07/25/2022 |
Related Entities
Other providers sharing the same authorized official: DAKE, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
29 |
$981.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$533.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$448.00 |