Dental
Sunrise Smiles
Sunrise Smiles was paid $21K by Medicaid between Jul 2023 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoSUNRISE SMILES
AMMON, ID 83406
AMMON, ID 83406
33aNPI1245978329assigned 05/26/2022
33bProvider typeDentist
28Total paid$21K
24GClaims917
24DCodes billed11
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#40 of 89
Median peer was paid$16K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2023 | 637 | $15K | |
| 2024incomplete | 280 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 162 | 162 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 77 | 28 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 32 | 32 | $4K |
| D0140 | Limited oral evaluation - problem focused | 10% | 51 | 51 | $2K |
| D0330 | Panoramic radiographic image | 8.0% | 59 | 58 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 30 | 13 | $694.84 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 66 | 65 | $485.04 |
| D0274 | Bitewings - four radiographic images | <1% | 144 | 144 | $194.67 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 148 | 148 | $69.91 |
| D1206 | Topical application of fluoride varnish | 0% | 83 | 83 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 65 | 64 | $0.00 |
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 officialBELL, JOSHUA (OWNER)