Edmunds, John

Edmunds, John was paid $45K by Medicaid between Mar 2022 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoEDMUNDS, JOHN
CLOVER, SC 29710

33aNPI1780250084assigned 05/28/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$45K

24GClaims1,426

24DCodes billed6

24AFirst – last monthMar 2022 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#191 of 331

Median peer was paid$75K

This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2022	573	$17K
2023	516	$16K
2024incomplete	337	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	441	441	$22K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	605	605	$14K
D0274	Bitewings - four radiographic images	9.0%	146	146	$4K
D1206	Topical application of fluoride varnish	7.7%	209	209	$3K
D0330	Panoramic radiographic image	1.2%	13	13	$546.30
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$147.16

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.