Clinic
Sean BP Sunyoto DDS INC
Sean BP Sunyoto DDS INC was paid $121K by Medicaid between Oct 2020 and Dec 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoSEAN BP SUNYOTO DDS INC
BUENA PARK, CA 90621
BUENA PARK, CA 90621
33aNPI1457996035assigned 11/07/2019
33bProvider typeDental Clinic/Center
28Total paid$121K
24GClaims2,829
24DCodes billed14
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#652 of 1,135
Median peer was paid$200K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 29 | $2K | |
| 2021 | 634 | $23K | |
| 2022 | 656 | $31K | |
| 2023 | 570 | $23K | |
| 2024incomplete | 940 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 660 | 659 | $43K |
| D1110 | Prophylaxis - adult | 18% | 240 | 240 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 388 | 388 | $18K |
| D9430 | 8.4% | 320 | 291 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 486 | 486 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 84 | 84 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 124 | 124 | $5K |
| D0350 | 2.5% | 99 | 97 | $3K | |
| D0330 | Panoramic radiographic image | 2.1% | 178 | 177 | $3K |
| D1206 | Topical application of fluoride varnish | 1.2% | 110 | 110 | $1K |
| D4910 | <1% | 13 | 13 | $1K | |
| D1320 | <1% | 44 | 44 | $762.50 |
2 more codes
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 officialSUNYOTO, SEAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sean Kim, DDS, INC. | Pasadena, CA | $120K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.