Dental
Edwards, Michael
Edwards, Michael was paid $15K by Medicaid between Jan 2018 and Jan 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.
33Billing provider infoEDWARDS, MICHAEL
WEDOWEE, AL 36278
WEDOWEE, AL 36278
33aNPI1164555918assigned 03/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims846
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Alabama
Rank by total paid#177 of 293
Median peer was paid$31K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 282 | $4K | |
| 2019 | 208 | $4K | |
| 2020 | 125 | $2K | |
| 2021 | 143 | $3K | |
| 2022 | 51 | $1K | |
| 2023 | 37 | $729.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 41% | 344 | 321 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 31% | 345 | 313 | $5K |
| D1206 | Topical application of fluoride varnish | 13% | 82 | 76 | $2K |
| D1110 | Prophylaxis - adult | 10% | 48 | 42 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 27 | 24 | $726.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.