NPI: 1093401424 · HOUSTON, TX 77036 · Dentist · NPI assigned 04/18/2023
Authorized official EDMONDSON, SHERRIE controls 20+ related entities in our dataset. Read more
| Authorized Official | EDMONDSON, SHERRIE (SR MANAGER, L&C) |
| NPI Enumeration Date | 04/18/2023 |
Other providers sharing the same authorized official: EDMONDSON, SHERRIE
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 202 | $354.90 |
| 2024 | 1,218 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 159 | 158 | $1K |
| D1351 | Sealant - per tooth | 97 | 12 | $988.40 |
| D1120 | Prophylaxis - child | 79 | 77 | $771.75 |
| D1206 | Topical application of fluoride varnish | 272 | 270 | $646.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 398 | 140 | $542.12 |
| D0150 | Comprehensive oral evaluation - new or established patient | 60 | 57 | $388.52 |
| D0220 | Intraoral - periapical first radiographic image | 142 | 139 | $245.50 |
| D0603 | 166 | 161 | $0.00 | |
| D0601 | 47 | 47 | $0.00 |