NPI: 1225403397 · PHENIX CITY, AL 36867 · Pediatric Dentist · NPI assigned 12/01/2015
Authorized official EDMONDSON, SHERRIE controls 20+ related entities in our dataset. Read more
| Authorized Official | EDMONDSON, SHERRIE (MANAGER, LICENSING & CREDENTIALING) |
| NPI Enumeration Date | 12/01/2015 |
Other providers sharing the same authorized official: EDMONDSON, SHERRIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,897 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 157 | 109 | $12K |
| D1120 | Prophylaxis - child | 281 | 281 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 322 | 322 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 224 | 202 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 74 | 63 | $4K |
| D0330 | Panoramic radiographic image | 93 | 93 | $4K |
| D0272 | Bitewings - two radiographic images | 223 | 223 | $4K |
| D0120 | Periodic oral evaluation - established patient | 201 | 201 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 155 | 155 | $3K |
| D1351 | Sealant - per tooth | 55 | 17 | $1K |
| D1110 | Prophylaxis - adult | 31 | 31 | $1K |
| D1206 | Topical application of fluoride varnish | 50 | 50 | $828.00 |
| D0274 | Bitewings - four radiographic images | 31 | 31 | $696.00 |