Sun, Benjamin

Sun, Benjamin was paid $23K by Medicaid between Jan 2018 and Sep 2018, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoSUN, BENJAMIN
SHORELINE, WA 98155

33aNPI1023230612assigned 05/03/2007

33bProvider typePediatric Dentist

28Total paid$23K

24GClaims968

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Pediatric Dentist providers in Washington

Rank by total paid#110 of 156

Median peer was paid$337K

This provider vs. median0.1×

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
2018	968	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	229	227	$7K
D1208	Topical application of fluoride, excluding varnish	23%	235	231	$5K
D1120	Dental cleaning, childProphylaxis - child	23%	229	227	$5K
D9999	Unspecified adjunctive procedure, by report	22%	184	183	$5K
D0272	Bitewings - two radiographic images	1.3%	29	29	$298.41
D0220	Intraoral - periapical first radiographic image	1.1%	32	32	$253.44
D0230	Intraoral - periapical each additional radiographic image	<1%	30	30	$71.10

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.