Medicaid Provider Spending

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

SUNSHINE DENTAL CENTER, LLC

NPI: 1427473214 · HONOLULU, HI 96817 · Dentist · NPI assigned 03/03/2014

$2K
Total Medicaid Paid
55
Total Claims
55
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMESINAS, ELAINE (OWNER)
Parent OrganizationSUNSHINE DENTAL CENTER,LLC
NPI Enumeration Date03/03/2014

Related Entities

Other providers sharing the same authorized official: MESINAS, ELAINE

ProviderCityStateTotal Paid
SUNSHINE DENTAL CENTER, LLC WAIPAHU HI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 55 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 15 15 $908.10
D0150 Comprehensive oral evaluation - new or established patient 16 16 $654.72
D1110 Prophylaxis - adult 12 12 $518.40
D1206 Topical application of fluoride varnish 12 12 $295.92