Sunnyside Dentistry for Children, P.C.

Sunnyside Dentistry for Children, P.C. was paid $62K by Medicaid between Jan 2018 and Jan 2020, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 40% of everything it billed.

33Billing provider infoSUNNYSIDE DENTISTRY FOR CHILDREN, P.C.
CLACKAMAS, OR 97015

33aNPI1104156959assigned 12/29/2009

33bProvider typePediatric Dentist

28Total paid$62K

24GClaims1,397

24DCodes billed10

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Pediatric Dentist providers in Oregon

Rank by total paid#85 of 109

Median peer was paid$362K

This provider vs. median0.2×

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	475	$13K
2019	858	$48K
2020	64	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	40%	144	59	$25K
D1120	Dental cleaning, childProphylaxis - child	20%	292	291	$12K
D1206	Topical application of fluoride varnish	12%	346	344	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	268	268	$7K
D0272	Bitewings - two radiographic images	8.0%	159	155	$5K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.5%	136	119	$3K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	12	12	$958.80
D0220	Intraoral - periapical first radiographic image	<1%	14	14	$328.85
D0230	Intraoral - periapical each additional radiographic image	<1%	13	13	$261.10
D0602		<1%	13	13	$143.00

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.

From NPPES

Who's on the registration

Authorized officialDOYLE, JR, DAVID (PRESIDENT)