NPI: 1194030387 · CLANTON, AL 35045 · Pediatric Dentist · NPI assigned 08/11/2010
Authorized official EDMONDSON, SHERRIE controls 20+ related entities in our dataset. Read more
| Authorized Official | EDMONDSON, SHERRIE (MANAGER, LICENSING & CREDENTIALING) |
| NPI Enumeration Date | 08/11/2010 |
Other providers sharing the same authorized official: EDMONDSON, SHERRIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,881 | $499K |
| 2019 | 21,062 | $513K |
| 2020 | 10,803 | $244K |
| 2021 | 10,767 | $269K |
| 2022 | 18,712 | $438K |
| 2023 | 22,433 | $553K |
| 2024 | 28,030 | $601K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1354 | 21,783 | 4,358 | $474K | |
| D0120 | Periodic oral evaluation - established patient | 17,227 | 15,844 | $294K |
| D1120 | Prophylaxis - child | 11,073 | 10,294 | $288K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,950 | 2,762 | $287K |
| D1206 | Topical application of fluoride varnish | 13,514 | 12,157 | $211K |
| D1110 | Prophylaxis - adult | 5,998 | 5,378 | $196K |
| D0330 | Panoramic radiographic image | 3,762 | 3,413 | $163K |
| D1351 | Sealant - per tooth | 6,721 | 2,122 | $152K |
| D1999 | 8,295 | 7,130 | $149K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,560 | 1,912 | $144K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6,662 | 5,803 | $130K |
| D0272 | Bitewings - two radiographic images | 9,124 | 8,487 | $124K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,147 | 744 | $97K |
| D0274 | Bitewings - four radiographic images | 5,505 | 4,957 | $95K |
| D1208 | Topical application of fluoride, excluding varnish | 4,885 | 4,729 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 1,253 | 727 | $62K |
| D0240 | 3,822 | 1,893 | $56K | |
| D7240 | Removal of impacted tooth - completely bony | 362 | 74 | $52K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 251 | 191 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1,789 | 1,529 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 493 | 462 | $12K |
| D0140 | Limited oral evaluation - problem focused | 429 | 358 | $10K |
| D2394 | 62 | 36 | $6K | |
| D3120 | 213 | 123 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | 142 | 131 | $3K |
| D2331 | 12 | 12 | $864.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 103 | 64 | $735.00 |
| D2140 | 14 | 12 | $672.00 | |
| D0602 | 19 | 19 | $0.00 | |
| D1330 | 71 | 71 | $0.00 | |
| D0603 | 376 | 376 | $0.00 | |
| D1310 | 71 | 71 | $0.00 |