Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNSET DENTAL PROFESSIONALS

NPI: 1104104108 · WEST COVINA, CA 91790 · Dentist · NPI assigned 07/26/2011

$14K
Total Medicaid Paid
384
Total Claims
373
Beneficiaries
4
Codes Billed
2019-05
First Month
2021-12
Last Month

Provider Details

Authorized OfficialKNON, ANDREW (DENTIST)
NPI Enumeration Date07/26/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 74 $4K
2020 94 $3K
2021 216 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 108 108 $7K
D0210 Intraoral - complete series of radiographic images 56 56 $3K
D9430 69 64 $2K
D0220 Intraoral - periapical first radiographic image 151 145 $2K