NPI: 1578267811 · KATY, TX 77449 · Dentist · NPI assigned 03/29/2023
Authorized official EDMONDSON, SHERRIE controls 20+ related entities in our dataset. Read more
| Authorized Official | EDMONDSON, SHERRIE (SR MANAGER) |
| NPI Enumeration Date | 03/29/2023 |
Other providers sharing the same authorized official: EDMONDSON, SHERRIE
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,308 | $9K |
| 2024 | 2,256 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 176 | 166 | $3K |
| D1120 | Prophylaxis - child | 292 | 273 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 282 | 259 | $3K |
| D0274 | Bitewings - four radiographic images | 324 | 302 | $2K |
| D1351 | Sealant - per tooth | 549 | 119 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 823 | 543 | $2K |
| D1206 | Topical application of fluoride varnish | 442 | 416 | $2K |
| D0120 | Periodic oral evaluation - established patient | 181 | 181 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 602 | 564 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 41 | 40 | $711.68 |
| D1208 | Topical application of fluoride, excluding varnish | 72 | 70 | $367.50 |
| D0272 | Bitewings - two radiographic images | 78 | 72 | $280.56 |
| D0330 | Panoramic radiographic image | 87 | 77 | $107.06 |
| D0431 | 39 | 38 | $0.00 | |
| D0601 | 150 | 144 | $0.00 | |
| D0603 | 262 | 239 | $0.00 | |
| D1330 | 39 | 38 | $0.00 | |
| D0602 | 85 | 82 | $0.00 | |
| D1310 | 40 | 39 | $0.00 |