Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › CHILDERSBURG › DENTAL ASSOCIATES OF CHILDERSBURG LLC

DENTAL ASSOCIATES OF CHILDERSBURG LLC

NPI: 1861966475 · CHILDERSBURG, AL 35044 · General Practice Dentistry · NPI assigned 01/16/2019

$14K
Total Medicaid Paid
718
Total Claims
672
Beneficiaries
8
Codes Billed
2019-03
First Month
2022-09
Last Month

Provider Details

Authorized OfficialHAWKINS, SAMUEL (DENTIST)
NPI Enumeration Date01/16/2019

Related Entities

Other providers sharing the same authorized official: HAWKINS, SAMUEL

ProviderCityStateTotal Paid
DENTAL ASSOCIATES OF HUNTSVILLE, LLC HUNTSVILLE AL $4.69M
DENTAL ASSOCIATES OF FYFFE, LLC FYFFE AL $473K
DENTAL ASSOCIATES OF ROGERSVILLE, LLC ROGERSVILLE AL $240K
DENTAL ASSOCIATES OF SYLACAUGA LLC SYLACAUGA AL $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 251 $5K
2020 17 $300.00
2021 117 $2K
2022 333 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 187 161 $3K
D1208 Topical application of fluoride, excluding varnish 220 214 $3K
D0150 Comprehensive oral evaluation - new or established patient 95 90 $2K
D0330 Panoramic radiographic image 45 41 $2K
D1120 Prophylaxis - child 71 67 $2K
D0120 Periodic oral evaluation - established patient 71 70 $1K
D1110 Prophylaxis - adult 17 17 $560.00
D0272 Bitewings - two radiographic images 12 12 $180.00