ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC

NPI: 1760166490 · TEMPLE, TX 76502 · Dentist · NPI assigned 06/13/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$313K

Total Medicaid Paid

31,214

Total Claims

24,935

Beneficiaries

Codes Billed

2023-07

First Month

2024-12

Last Month

Provider Details

Authorized Official	EDMONDSON, SHERRIE (SR MANAGER)
NPI Enumeration Date	06/13/2023

Related Entities

Other providers sharing the same authorized official: EDMONDSON, SHERRIE

Provider	City	State	Total 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 AND VISION CENTER OF ALABAMA, P.C.	ATHENS	AL	$268K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.	BESSEMER	AL	$159K
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.	TUSCALOOSA	AL	$142K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	10,369	$85K
2024	20,845	$228K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,075	554	$51K
D1351	Sealant - per tooth	4,242	1,002	$40K
D1120	Prophylaxis - child	1,799	1,707	$29K
D1110	Prophylaxis - adult	1,055	1,003	$24K
D0120	Periodic oral evaluation - established patient	1,567	1,500	$21K
D0210	Intraoral - complete series of radiographic images	360	360	$18K
D1206	Topical application of fluoride varnish	2,922	2,775	$18K
D0150	Comprehensive oral evaluation - new or established patient	1,328	1,247	$17K
D0274	Bitewings - four radiographic images	1,320	1,257	$13K
D0145	Oral evaluation for a patient under three years of age	305	273	$12K
D0220	Intraoral - periapical first radiographic image	3,003	2,844	$12K
D0272	Bitewings - two radiographic images	1,506	1,425	$11K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	999	876	$11K
D0230	Intraoral - periapical each additional radiographic image	2,975	2,728	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	303	216	$9K
D2930	Prefabricated stainless steel crown - primary tooth	116	67	$7K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	194	109	$5K
D0330	Panoramic radiographic image	961	906	$1K
D1354		204	65	$1K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	18	13	$647.40
D0140	Limited oral evaluation - problem focused	29	28	$356.82
D1330		18	15	$24.50
D0602		665	620	$0.00
D0603		1,770	1,676	$0.00
D1355		1,169	427	$0.00
D0601		775	722	$0.00
D1320		16	13	$0.00
D1310		17	14	$0.00
D1999		503	493	$0.00