SUNRISE PEDIATRIC DENTISTRY PC
NPI: 1063087765
· BELMONT, MA 02478
· Endodontist
· NPI assigned 05/25/2021
Provider Details
| Authorized Official | DIUNE, JOHN (PRESIDENT AND TREASURER) |
| NPI Enumeration Date | 05/25/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
537 |
$14K |
| 2023 |
1,261 |
$35K |
| 2024 |
1,248 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
514 |
508 |
$28K |
| D1206 |
Topical application of fluoride varnish |
609 |
599 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
859 |
428 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
572 |
544 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
333 |
330 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
147 |
143 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$539.00 |