Dentist In Vestavia Hills Alabama

NPI list of 24 dentist registered providers with a business address in Vestavia Hills, AL of which 6 are registered as organizations and 18 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

NPI Name Type Taxonomy Address Medicare PECOS
1013414994G. ROBIN PRUITT, JR., D.M.D. PCOrganizationDentist
(General Practice)
2816 COLUMBIANA RD
VESTAVIA HILLS, AL 35216
(205) 823-3223
Non-Participating ProviderNO
1134334402MELANIE HARDEE SPOONERIndividualDentist
(General Practice)
502 MONTGOMERY HWY SUITE 201
VESTAVIA HILLS, AL 35216
(205) 822-2808
Non-Participating ProviderNO
1144300658JAMES FLETCHER BALLARDIndividualDentist
(Endodontics)
1771 INDEPENDENCE CT SUITE 4
VESTAVIA HILLS, AL 35216
(205) 414-1499
Non-Participating ProviderYES
1144485210RALPH CLAY MCCLUNGIndividualDentist
(General Practice)
300 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
(205) 979-1800
Non-Participating ProviderNO
1184886830CLARK C. BROWNEIndividualDentist
(Orthodontics and Dentofacial Orthopedics)
701 MONTGOMERY HWY SUITE 201
VESTAVIA HILLS, AL 35216
(205) 978-1500
Non-Participating ProviderNO
1245519545RANA W AHMADIndividualDentist2816 COLUMBIANA RD
VESTAVIA HILLS, AL 35216
(205) 903-3701
Non-Participating ProviderYES
1255981775STONECREEK DENTAL OF ALABAMA
STONECREEK DENTAL CARE
OrganizationDentist
(General Practice)
1841 MONTCLAIRE LN
VESTAVIA HILLS, AL 35216
(205) 870-5445
Non-Participating ProviderNO
1295221885MORGAN B TAYLORIndividualDentist1598 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
(205) 582-8570
Non-Participating ProviderYES
1346715943HIGHFIVE PROFESSIONAL SERVICES P.C.OrganizationDentist
(General Practice)
1771 INDEPENDENCE CT STE 1
VESTAVIA HILLS, AL 35216
(205) 870-9871
Non-Participating ProviderNO
1396831384TREVOR M KAPLEIndividualDentist
(Endodontics)
1932 LAUREL RD SUITE 2C
VESTAVIA HILLS, AL 35216
(205) 383-4114
Non-Participating ProviderNO
1407342546SHRUTI SUSHILKUMAR SONAVANEIndividualDentist
(General Practice)
3325 LORNA RD STE 5
VESTAVIA HILLS, AL 35216
(205) 379-0550
Non-Participating ProviderNO
1467652446MELISSA SEIBOLD NIXIndividualDentist
(General Practice)
300 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
(205) 871-2592
Non-Participating ProviderYES
1487222840CARSON ALEXANDER PRUITTIndividualDentist2816 COLUMBIANA RD
VESTAVIA HILLS, AL 35216
(205) 823-3223
Non-Participating ProviderNO
1528154721ROCKLIN D ALLINGIndividualDentist
(Oral and Maxillofacial Surgery)
1771 INDEPENDENCE CT STE 2
VESTAVIA HILLS, AL 35216
(205) 870-5834
Non-Participating ProviderNO
1629554993SARAH T POTTERIndividualDentist
(General Practice)
3284 MORGAN DR STE 104
VESTAVIA HILLS, AL 35216
(205) 822-7224
Non-Participating ProviderNO
1669013355ZOHEB JIWANIIndividualDentist
(General Practice)
1598 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
(205) 582-8570
Non-Participating ProviderNO
1689217309STONECREEK DENTAL OF ALABAMAOrganizationDentist1840 MONTCLAIRE DR
VESTAVIA HILLS, AL 35216
(205) 870-5445
Non-Participating ProviderNO
1689888372DIANA PEARIS WOODIndividualDentist
(General Practice)
502 MONTGOMERY HWY SUITE 201
VESTAVIA HILLS, AL 35216
(205) 822-2808
Non-Participating ProviderNO
1740849983MENGYI SHIIndividualDentist2720 MASSEY CIR
VESTAVIA HILLS, AL 35216
(205) 240-9185
Non-Participating ProviderYES
1801423280OTM PEDIATRIC DENTISTRY, LLCOrganizationDentist
(Pediatric Dentistry)
521 HIGHWAY 31 S STE 125
VESTAVIA HILLS, AL 35216
(205) 822-4284
Non-Participating ProviderNO
1821397589LEE MICHAEL MANISCALCOIndividualDentist
(Oral and Maxillofacial Surgery)
2036 PATTON CHAPEL RD
VESTAVIA HILLS, AL 35216
(205) 979-9738
Accepts MedicareYES
1891888079DANIEL L RICHARDSIndividualDentist
(General Practice)
1932 LAUREL ROAD SUITE 1-C
VESTAVIA HILLS, AL 35216
(205) 823-6300
Non-Participating ProviderNO
1891909560DIANA P WOOD, DMD
WOOD & SPOONER
OrganizationDentist
(General Practice)
502 MONTGOMERY HWY SUITE 201
VESTAVIA HILLS, AL 35216
(205) 822-2808
Non-Participating ProviderNO
1972675619LUTHER TRUMAN CALEIndividualDentist
(Orthodontics and Dentofacial Orthopedics)
8000 LIBERTY PARKWAY SUITE 128
VESTAVIA HILLS, AL 35242
(205) 969-1969
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.