Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › BOONE › FRANK F SUNSTROM DDS & JON L SUNSTROM DDS P.C.

FRANK F SUNSTROM DDS & JON L SUNSTROM DDS P.C.

NPI: 1043479421 · BOONE, IA 50036 · Dental Clinic/Center · NPI assigned 06/02/2008

$13K
Total Medicaid Paid
554
Total Claims
541
Beneficiaries
3
Codes Billed
2018-05
First Month
2023-03
Last Month

Provider Details

Authorized OfficialSUNSTROM, JON (PRESIDENT)
Parent OrganizationNONE
NPI Enumeration Date06/02/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $1K
2019 127 $3K
2020 73 $2K
2021 93 $2K
2022 142 $3K
2023 51 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 188 186 $7K
D0120 Periodic oral evaluation - established patient 354 343 $6K
D0274 Bitewings - four radiographic images 12 12 $283.80