Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FORT WORTH › ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS, PC

ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS, PC

NPI: 1699551309 · FORT WORTH, TX 76112 · Pediatric Dentist · NPI assigned 09/07/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EDMONDSON, SHERRIE controls 20+ related entities in our dataset. Read more

$39K
Total Medicaid Paid
6,641
Total Claims
4,496
Beneficiaries
21
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDMONDSON, SHERRIE (SR MANAGER, L&C)
NPI Enumeration Date09/07/2023

Related Entities

Other providers sharing the same authorized official: EDMONDSON, SHERRIE

ProviderCityStateTotal Paid
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. MONTGOMERY AL $9.37M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. BOAZ AL $9.11M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. DOTHAN AL $6.93M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ATHENS AL $6.27M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ANNISTON AL $4.57M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ENTERPRISE AL $3.90M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. CLANTON AL $3.12M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ALEXANDER CITY AL $3.02M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. BOAZ AL $1.05M
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ANNISTON AL $917K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ATTALLA AL $749K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. DOTHAN AL $692K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. LEESBURG AL $663K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. MONTGOMERY AL $533K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. CLANTON AL $513K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. PINSON AL $397K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ALEXANDER CITY AL $345K
ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC TEMPLE TX $313K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. ATHENS AL $268K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. BESSEMER AL $159K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 588 $2K
2024 6,053 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 998 159 $9K
D0145 Oral evaluation for a patient under three years of age 158 137 $5K
D1120 Prophylaxis - child 429 381 $5K
D0120 Periodic oral evaluation - established patient 311 293 $4K
D1206 Topical application of fluoride varnish 599 541 $3K
D0230 Intraoral - periapical each additional radiographic image 1,195 353 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 31 13 $2K
D0150 Comprehensive oral evaluation - new or established patient 129 120 $2K
D1110 Prophylaxis - adult 65 63 $2K
D0274 Bitewings - four radiographic images 222 212 $1K
D0220 Intraoral - periapical first radiographic image 423 381 $1K
D0272 Bitewings - two radiographic images 125 113 $1K
D0210 Intraoral - complete series of radiographic images 15 15 $918.32
D1354 113 25 $464.00
D0330 Panoramic radiographic image 108 104 $344.13
D1330 486 449 $98.75
D0601 385 356 $12.00
D1310 480 443 $0.00
D0603 175 156 $0.00
D0602 16 13 $0.00
D1999 178 169 $0.00