SUN WEST DENTAL III, LLC
NPI: 1417099318
· APACHE JUNCTION, AZ 85120
· Dentist
· NPI assigned 02/14/2007
Provider Details
| Authorized Official | DALTON, TRACEY (CREDENTIALING SPECIALIST) |
| Parent Organization | SUN WEST DENTAL CENTER III, LLC |
| NPI Enumeration Date | 02/14/2007 |
Related Entities
Other providers sharing the same authorized official: DALTON, TRACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
107 |
$851.50 |
| 2020 |
329 |
$2K |
| 2024 |
15 |
$174.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
117 |
106 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
251 |
230 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
83 |
73 |
$255.82 |